Individual provider Active NPI

David Thomas Martin, MD

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1326046244
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82255 Issued in FL
Practice address
1549 Airport Blvd
Suite 200
Pensacola, FL 32504-8633
Phone
(850) 416-4960
Fax
(850) 416-4961
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME82255 FL Primary

Addresses

Primary practice location

1549 Airport Blvd
Suite 200
Pensacola, FL 32504-8633

Mailing address

1549 Airport Blvd
Suite 200
Pensacola, FL 32504-8633
Phone (850) 416-4960

Other identifiers 1

IdentifierTypeStateIssuer
262144403MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000786 FL Practitioner - Internal Medicine 1557446010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME82255FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Internal Medicine Associates of Lee County MD PA Internal Medicine PastSince Aug 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Tri Hospital MRI Center Past Accepting new patients

Locations

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1326046244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 AIRPORT BLVD",
            "address_2": "SUITE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048633",
            "telephone_number": "850-416-4960",
            "fax_number": "850-416-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 AIRPORT BLVD",
            "address_2": "SUITE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048633",
            "telephone_number": "850-416-4960",
            "fax_number": "850-416-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262144403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.