Martin Family Medical Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MARTIN FAMILY MEDICAL CLINIC PLLC

Practice address

1357 W Collin Raye Dr
De Queen, AR 71832-2946

Phone

(870) 642-2000

Fax

(870) 642-2005

NPI assigned

May 10, 2012

Last updated

May 10, 2012By 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

Angela K Martin, APN

Title

Owner

Phone

(870) 642-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1467711515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322946",
            "telephone_number": "870-642-2000",
            "fax_number": "870-642-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322946",
            "telephone_number": "870-642-2000",
            "fax_number": "870-642-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-642-2000",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lofton Family Clinic, MD PA
• Jason David Lofton, MD
• Renee Logan, P. D.
• Mark R. Stewart, DMD, Inc.
• Maddison Grace Marshall
• Angela Kay Martin, APRN
• Bonita Lois Martin, NP
• Kimberly Ann Martin, MS, OTR/L
• Marlen Martinez
• Suguey Martinez, RDH

• Family Nurse Practitioner in De Queen, AR
• Providers in De Queen, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.