Active NPI
Janet R. Martin, M.D., P.C.
- Diagnostic Radiology Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33615
- Legal business name
- JANET R. MARTIN, M.D., P.C.
- Practice address
- 24654 N Lake Pleasant Pkwy Ste 103-414
Peoria, AZ 85383-1359 - Phone
- (866) 614-8555
- NPI assigned
- Sep 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Janet Martin, M.D.
- Title
- President
- Phone
- (866) 614-8555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 33615 | AZ | Primary |
Addresses
Primary practice location
24654 N Lake Pleasant Pkwy Ste 103-414
Peoria, AZ 85383-1359
Mailing address
24654 N Lake Pleasant Pkwy Ste 103-414
Peoria, AZ 85383-1359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 965460 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
24654 N Lake Pleasant Pkwy
Ste 103414
Peoria, AZ 85383
Phone (866) 614-8555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Peoria, AZ
- NPI 1821046707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1386953032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24654 N LAKE PLEASANT PKWY STE 103-414",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24654 N LAKE PLEASANT PKWY STE 103-414",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831359",
"telephone_number": "866-614-8555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANET R. MARTIN, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "866-614-8555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "33615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "965460",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.