Active NPI
Neil Martin, MD
- Emergency Medicine Physician
- Lawrence, MA
National Provider Identifier
1366451866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 49241
- Practice address
- 500 Merrimack St
Lawrence, MA 01843-1756 - Phone
- (978) 557-8800
- Fax
- (978) 557-8633
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7129 | NH | |
| Emergency Medicine Physician | 207P00000X | 49241 | MA | Primary |
Addresses
Primary practice location
500 Merrimack St
Lawrence, MA 01843-1756
Mailing address
500 Merrimack St
Lawrence, MA 01843-1756
Phone (978) 557-8800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295300099 | Medicaid | ME | |
| 30201081 | Medicaid | NH | |
| 0112771 | Medicaid | MA | |
| 0108876Y0NH01 | Other | NH | ANTHEM |
| 930100689 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000722 | NH | Practitioner - Emergency Medicine | 6204892367 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7129 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Seacoast Community Health | Current | Accepting new patients | |
| Exeter Health Resources Inc | Past | Accepting new patients | |
| Exeter Hospital Inc | Past | Accepting new patients | |
| Exeter Emergency Physicians PA | Past | Accepting new patients |
Locations
311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Goodwin Community Health
- Federally Qualified Health Center (FQHC)
- Somersworth, NH
- NPI 1578854287
-
- Emergency Medical Services (Emergency Medicine) Physician
- Exeter, NH
- NPI 1497845101
-
- Multi-Specialty Clinic/Center
- Exeter, NH
- NPI 1538375704
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1366451866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431756",
"telephone_number": "978-557-8800",
"fax_number": "978-557-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431756",
"telephone_number": "978-557-8800",
"fax_number": "978-557-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "NEIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "7129",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "49241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295300099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201081",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112771",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0108876Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930100689",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.