Christopher W Martin LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD062882L Issued in PA

Legal business name

CHRISTOPHER W MARTIN LLC

Practice address

414 Paoli Pike
Malvern, PA 19355-3311

Phone

(610) 251-5475

Fax

(610) 251-5475

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Christopher W Martin, MD

Title

Owner

Phone

(610) 251-5475

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467549196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178570175",
            "telephone_number": "570-988-0925",
            "fax_number": "570-988-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553311",
            "telephone_number": "610-251-5475",
            "fax_number": "610-251-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER W MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-251-5475",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062882L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017043340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.