Active NPI
Joseph G Martin, M.D.
- Orthopaedic Surgery Physician
- Bettendorf, IA
National Provider Identifier
1376521690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 29326
- Practice address
- 2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564 - Phone
- (563) 322-0971
- Fax
- (563) 324-0615
- NPI assigned
- Jan 6, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 29326 | IA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 036092379 | IL |
Addresses
Primary practice location
2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564
Mailing address
2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564
Phone (563) 322-0971
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19952 | Other | IA HEALTH SOLUTIONS | |
| 58113 | Other | IA | WELLMARK |
| IA0146 | Other | IA | JOHN DEERE FAMILY |
| 57865 | Other | IA | WELLMARK |
| 200029094 | Other | RR MEDICARE | |
| 58102 | Other | IA | WELLMARK |
| T81029 | Other | IA | JOHN DEERE FAMILY |
| 0110544 | Medicaid | IA | |
| IA0158 | Other | IA | JOHN DEERE FAMILY |
| 040798 | Other | HEALTH ALLIANCE | |
| 15537 | Other | MIDLANDS CHOICE | |
| 8121085 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1376521690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 53RD AVE",
"address_2": "SUITE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227564",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 53RD AVE",
"address_2": "SUITE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227564",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOSEPH",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "29326",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036092379",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA HEALTH SOLUTIONS",
"identifier": "19952",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "58113",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE FAMILY",
"identifier": "IA0146",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "57865",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200029094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "58102",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE FAMILY",
"identifier": "T81029",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110544",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE FAMILY",
"identifier": "IA0158",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "040798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "15537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8121085",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.