Carroll M. Martin, M.D.,S.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

20424 Issued in WI

Legal business name

CARROLL M. MARTIN, M.D.,S.C.

Practice address

6308 8TH Ave
Suite 3030
Kenosha, WI 53143-5031

Phone

(262) 656-8895

Fax

(262) 656-8898

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carroll McKinley Martin Jr., M.D.

Title

President

Phone

(262) 656-8895

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Billie A Lawler, APNP

  • Acute Care Nurse Practitioner
  • Mount Pleasant, WI
  • NPI 1245253764
  NPD (past)
• Anna CK Silenzi, DO

  • Cardiovascular Disease Physician
  • Kenosha, WI
  • NPI 1639365661
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1326183757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "address_2": "SUITE 3030",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-8895",
            "fax_number": "262-656-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "address_2": "SUITE 3030",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-8895",
            "fax_number": "262-656-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL M. MARTIN, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "MCKINLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-656-8895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "20424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31167300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts Home Care
• Melissa Carlberg, L.P.C.
• Candi Carmody
• Tracy Carpenter, LMY
• Lora L. Carpentier, APNP
• Arianah Carroll
• Olivia Bressy Cashmore, DC, CCN
• Payton Cierra Casper
• Samantha Nichole Cassity
• Nicolas Castaneda, APRN, CNP

• Cardiovascular Disease Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.