Sandy Martin, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

30746 Issued in FL

Practice address

1090 Camelot Cir
Naples, FL 34119

Phone

(561) 706-5422

Fax

(888) 257-5932

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://brderm.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boca Raton Dermatology, P.a.

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1548308141
  NPD (past)
• Center for Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Tampa, FL
  • NPI 1558448522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1316980824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 CAMELOT CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191308",
            "telephone_number": "561-706-5422",
            "fax_number": "888-990-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 CAMELOT CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "561-706-5422",
            "fax_number": "888-257-5932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13641 Metropolis Ave",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124433",
            "country_code": "US",
            "telephone_number": "239-208-4408",
            "fax_number": "888-990-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "30746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "93792T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leighann Martin
• Lianne Riley Martin, PA-C
• P Jill Martin, P.T.
• Pedro Pablo Martin, M.D.
• Ralph J. Martin, M.D.
• Timothy Martin
• Mario Alfredo Martinez Blanco
• Giraldo Martinez Castillo
• Sara Martinez de Armas
• Giselle Martinez Duran

• Dermatology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.