Organization Active NPI

Doc Martins Ear, Nose & Throat

  • Otolaryngology Physician
  • Cheyenne, WY
National Provider Identifier
1326293945
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5082A Issued in WY
Legal business name
DOC MARTINS EAR, NOSE & THROAT
Practice address
126 Quincy Rd
Cheyenne, WY 82009-4126
Phone
(307) 632-9970
Fax
(307) 632-9972
NPI assigned
Nov 24, 2008
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Michael P Martin, M.D
Title
M.D
Phone
(307) 632-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 5082A WY Primary

Addresses

Primary practice location

126 Quincy Rd
Cheyenne, WY 82009-4126

Mailing address

126 Quincy Rd
Cheyenne, WY 82009-4126
Phone (307) 632-9970

National Provider Directory

National Provider Directory

Locations

126 Quincy Rd
Cheyenne, WY 82009
Phone (307) 632-9970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1326293945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 QUINCY RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094126",
            "telephone_number": "307-632-9970",
            "fax_number": "307-632-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 QUINCY RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094126",
            "telephone_number": "307-632-9970",
            "fax_number": "307-632-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC MARTINS EAR, NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "307-632-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WY",
            "license": "5082A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.