NPIMap

Individual provider Active NPI

David Martin

  • Emergency Medicine Physician
  • Lebanon, PA
National Provider Identifier
1336508043
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS018959 Issued in PA
Practice address
252 S 4TH St
Lebanon, PA 17042-6111
Phone
(717) 270-1949
NPI assigned
Feb 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO4042 ME
Family Medicine Physician 207Q00000X OS018959 PA
Emergency Medicine Physician 207P00000X OS018959 PA Primary

Addresses

Primary practice location

252 S 4TH St
Lebanon, PA 17042-6111

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

30 N 4th St
Lebanon, PA 17046-5606
Phone (717) 274-0474

Other practice location 2

9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350

Other practice location 3

101 Fairview Cir
Lebanon, PA 17042-9581
Phone (717) 279-7303

Other practice location 4

6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581

Other practice location 5

720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230

Other practice location 6

3369 Route 100
Macungie, PA 18062-9613
Phone (610) 402-8111

Other practice location 7

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 8

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Other identifiers 1

IdentifierTypeStateIssuer
103298433MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190729000021 PA Practitioner - Emergency MedicinePractitioner - Family Practice 7810232758 Reassigns benefits to 5 organizations
I20250520002459 ME Practitioner - Emergency Medicine 7810232758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Maine LLC 56 clinicians
Lehigh Valley Physician Group 2,512 clinicians
Emergency Physician Associates of Pennsylvania PC 88 clinicians

Practice addresses (Care Compare)

140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 768-4000

3369 State Route 100
LVPG Emergency Medicine Macungie
Macungie, PA 18062
Phone (610) 402-8111

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4090

Hospital & facility affiliations

  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO4042MEMDEmergency Medicine Physician
OS018959PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Emergency Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 29, 2025 Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Jul 5, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
The Good Samaritan Hospital of Lebanon, Pennsylvania Emergency Medicine CurrentSince Aug 18, 2021 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 29, 2025 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jul 5, 2022 Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

446 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-4334

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700

30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949

101 W Airport Rd
Lititz, PA 17543
Phone (717) 466-2445

3369 Route 100
Macungie, PA 18062
Phone (484) 232-6863

6 Perri Ave
Myerstown, PA 17067
Phone (717) 949-6581

101 Fairview Cir
North Cornwall, PA 17042
Phone (717) 279-7303

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: dmartin14322@wellspan.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1336508043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-270-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170465606",
            "country_code": "US",
            "telephone_number": "717-274-0474",
            "fax_number": "717-270-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Nathan Ln",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "fax_number": "717-303-3546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Fairview Cir",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170429581",
            "country_code": "US",
            "telephone_number": "717-279-7303",
            "fax_number": "717-279-7471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Perri Ave",
            "address_purpose": "LOCATION",
            "city": "Myerstown",
            "state": "PA",
            "postal_code": "170673200",
            "country_code": "US",
            "telephone_number": "717-949-6581",
            "fax_number": "717-949-2816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "fax_number": "717-274-1659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3369 Route 100",
            "address_purpose": "LOCATION",
            "city": "Macungie",
            "state": "PA",
            "postal_code": "180629613",
            "country_code": "US",
            "telephone_number": "610-402-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "fax_number": "717-738-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO4042",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018959",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS018959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103298433",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.