John B Martin MD

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

26157 Issued in MO

Legal business name

JOHN B MARTIN MD

Practice address

312 N Meramec Ave Apt 300
312 N Meramec #300
Saint Louis, MO 63105-3774

Phone

(314) 725-2618

Fax

(314) 725-2618

NPI assigned

Dec 10, 2014

Last updated

Dec 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Barlow Martin I, MD

Title

Physician

Phone

(314) 725-2618

Specialties & licenses 1

Addresses

Other names 1

• None Former legal business name

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1336547199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N MERAMEC AVE APT 300",
            "address_2": "312 N MERAMEC #300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053774",
            "telephone_number": "314-725-2618",
            "fax_number": "314-725-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N MERAMEC AVE APT 300",
            "address_2": "312 N MERAMEC #300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053774",
            "telephone_number": "314-725-2618",
            "fax_number": "314-725-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B MARTIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BARLOW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-725-2618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "26157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• John Doyle DDS LLC
• John M Laird Inc
• John P Marino MD LLC
• John Rabun, MD, LLC

• Adult Day Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.