Philip L Martin, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

32044 Issued in MO

Practice address

11144 Tesson Ferry Rd
#205
St Louis, MO 63123

Phone

(314) 842-8427

Fax

(314) 842-8262

NPI assigned

Oct 10, 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

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

OtolaryngologyAlso: Allergy/Immunology

Education

Other, 1968

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Telehealth Clinical Evals LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1346868387

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1336237239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD",
            "address_2": "#205",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63123",
            "telephone_number": "314-842-8427",
            "fax_number": "314-842-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD",
            "address_2": "#205",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63123",
            "telephone_number": "314-842-8427",
            "fax_number": "314-842-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "32044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas James Martin, PHARM. D.
• Nicolas Clay Martin, D.P.M.
• Noel Quentin Martin II, D.M.D.
• Norma Martin, RN
• Paula B Martin, C.N.S.
• Raven Rena Martin
• Rick A Martin, MD
• Robert S Martin, MD
• Sara Anne Martin, MD
• Sarah Z. Martin, FNP

• Otolaryngology Physician in St Louis, MO
• Providers in St Louis, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.