Individual provider Active NPI

Earl E Martin, DO

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1336295344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4559 Issued in TX
Practice address
710 Lawrence St
Tomball, TX 77375-6455
Phone
(281) 351-7155
Fax
(281) 290-9579
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4559 TX Primary

Addresses

Primary practice location

710 Lawrence St
Tomball, TX 77375-6455

Mailing address

710 Lawrence St
Tomball, TX 77375-6455
Phone (281) 351-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040310001598 TX Practitioner - Family Practice 7012806961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 Lawrence St
Tomball, TX 77375-6455
Phone (281) 351-7155

Hospital & facility affiliations

  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4559TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Diagnostic Clinic, PA CurrentSince Jul 7, 2003 Accepting new patients

Locations

710 Lawrence St
Tomball, TX 77375
Phone (281) 351-7155

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336295344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756455",
            "telephone_number": "281-351-7155",
            "fax_number": "281-290-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756455",
            "telephone_number": "281-351-7155",
            "fax_number": "281-290-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EARL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.