Robert E Martin, MD Apc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1479 Issued in AK

Legal business name

ROBERT E MARTIN, MD APC

Practice address

501 N Knik St
Wasilla, AK 99654-7050

Phone

(907) 376-5284

Fax

(907) 373-2464

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By 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

Robert Edward Martin, M.D.

Title

President

Phone

(907) 376-5284

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1396991907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547050",
            "telephone_number": "907-376-5284",
            "fax_number": "907-373-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547050",
            "telephone_number": "907-376-5284",
            "fax_number": "907-373-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E MARTIN, MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-376-5284",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1479",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Dawn Ritchey
• Zoe Rose Rivera
• Brodrik Donald Rivers
• Christa Rae Robb
• Robert Cassell DDS PC Wasilla Dental Center
• Courtney Lynn Roberts
• James Roberts, MD
• Shawn Adele Roberts, MS FNP
• Bradley J. Robinson, D.M.D.
• Robert W Robinson III, D.M.D

• Family Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.