James C Martin Jr., MD
Individual provider Active NPI Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Highlands, NC
NPI 1477536985 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1477536985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- License
- 31168 (NC)
- Practice address
- 209 Hospital Dr Ste 104
Highlands, NC 28741-7622 - Phone
- (288) 526-4346
- Fax
- (828) 526-2914
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3151 | TX | MD | Otolaryngology Physician |
| 31168 | NC | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Texas PLLC | Otolaryngology | Past |
Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Interoperability endpoints
- james.martinjr.p1@direct.hent.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | J3151 | TX | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 31168 | NC | Yes |
Addresses
Primary practice location
209 Hospital Dr Ste 104
Highlands, NC 28741-7622
Mailing address
209 Hospital Dr Ste 104
Highlands, NC 28741-7622
Phone (288) 526-4346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116959102 | Medicaid | TX |
Other providers in Highlands, NC
- Morgan Kyle Anna Kilby
- Life Matters Professional Counseling, PLLC
- Todd David Lipphardt
- Margaret Everhart Mack
- Mark Shoptaugh, PLLC
- Leila M Martin
- MH Eckerd Living Center, LLLP
- MH Highlands-Cashiers Medical Center, LLLP
- MH Highlands-Cashiers Medical Center, LLLP
- MH Highlands-Cashiers Medical Center, LLLP
All providers in Highlands, NC · Plastic Surgery within the Head & Neck (Otolaryngology) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.