Individual provider Active NPI

Richard James Martin, D.O, MPH

  • Pediatrics Physician
  • Hood River, OR
National Provider Identifier
1477657617
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO27031 Issued in OR
Practice address
810 13TH St
Hood River, OR 97031-1210
Phone
(541) 386-2300
Fax
(541) 436-4113
NPI assigned
Sep 8, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO27031 OR Primary

Addresses

Primary practice location

810 13TH St
Hood River, OR 97031-1210

Mailing address

810 13TH St
Hood River, OR 97031-1210
Phone (541) 386-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000197 OR Practitioner - Pediatric MedicinePractitioner - Family Practice 3173524576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Mid-Columbia Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Mid-Columbia Medical Center Pediatrics Past Accepting new patients
Good Shepherd Health Care System Pediatrics Past Accepting new patients
Northwest Pediatrics and Adolescent Medicine, LLC Past Accepting new patients

Locations

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1810 E 19th St
Ste 211
The Dalles, OR 97058
Phone (503) 292-1400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13019/brand/1/csg/1/fhir/r4
  • Direct secure messaging: richard.martin.1@13019.direct.athenahealth.com
  • Direct secure messaging: rmartin104691@direct.ohsu.edu
  • Direct secure messaging: rmartin15915@direct.lhs.org

Organizations & group practices 6

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477657617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO27031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.