Individual provider Active NPI

Lawrence O Martin, MD

  • Otolaryngology Physician
  • Arlington Heights, IL
National Provider Identifier
1437260502
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Practice address
1430 North Arlington Heights Rd
Ste 214
Arlington Heights, IL 60004-4825
Phone
(847) 255-7773
Fax
(847) 255-7803
NPI assigned
Aug 31, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X IL Primary
Facial Plastic Surgery Physician 207YS0123X IL

Addresses

Primary practice location

1430 North Arlington Heights Rd
Ste 214
Arlington Heights, IL 60004-4825

Mailing address

1430 North Arlington Heights Rd
Ste 214
Arlington Heights, IL 60004-4825
Phone (847) 255-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care Institute, PLLC CurrentSince Sep 6, 2022 Accepting new patients

Locations

1430 N Arlington Heights Rd
Ste 214
Arlington Heights, IL 60004
Phone (847) 255-7773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECEBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1437260502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 NORTH ARLINGTON HEIGHTS RD",
            "address_2": "STE 214",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044825",
            "telephone_number": "847-255-7773",
            "fax_number": "847-255-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 NORTH ARLINGTON HEIGHTS RD",
            "address_2": "STE 214",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044825",
            "telephone_number": "847-255-7773",
            "fax_number": "847-255-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAWRENCE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.