NPIMap

Organization Active NPI

David Lee Martin, M.D., P.a.

  • Primary Care Clinic/Center
  • Austin, TX
National Provider Identifier
1366659757
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DAVID LEE MARTIN, M.D., P.A.
Practice address
12411 Hymeadow Dr
Building 3, Suite a
Austin, TX 78750-1874
Phone
(512) 258-2500
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
David Lee Martin, M.D.NPI 1912114307
Title
President
Phone
(512) 258-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12411 Hymeadow Dr
Building 3, Suite a
Austin, TX 78750-1874

Mailing address

12411 Hymeadow Dr
Building 3, Suite a
Austin, TX 78750-1874
Phone (512) 258-2500

National Provider Directory

National Provider Directory

Locations

12411 Hymeadow Dr
Ste 3A
Austin, TX 78750
Phone (512) 258-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1366659757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR",
            "address_2": "BUILDING 3, SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501874",
            "telephone_number": "512-258-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR",
            "address_2": "BUILDING 3, SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501874",
            "telephone_number": "512-258-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LEE MARTIN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-258-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.