Organization Active NPI

Jeffrey H Martin MD PA

  • Urology Physician
  • Murphy, NC
National Provider Identifier
1487834933
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JEFFREY H MARTIN MD PA
Practice address
75 Medical Park LN
#A
Murphy, NC 28906-6667
Phone
(828) 835-3900
Fax
(828) 835-3006
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Dr. Jeffrey H Martin, MD PA
Title
President
Phone
(828) 835-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X NC Primary

Addresses

Primary practice location

75 Medical Park LN
#A
Murphy, NC 28906-6667

Mailing address

75 Medical Park LN
#A
Murphy, NC 28906-6667
Phone (828) 835-3900

Other identifiers 5

IdentifierTypeStateIssuer
2347666OtherNCNC MEDICARE GROUP PTAN
140R1OtherNCBLUE CROSS BLUE SHIELD
1901307OtherNCUNITED HEALTH CARE
2043049OtherNCNC MEDICARE INDIVIDUAL PTAN
5902636MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey H Martin MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1487834933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MEDICAL PARK LN",
            "address_2": "#A",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066667",
            "telephone_number": "828-835-3900",
            "fax_number": "828-835-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MEDICAL PARK LN",
            "address_2": "#A",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066667",
            "telephone_number": "828-835-3900",
            "fax_number": "828-835-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H MARTIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-835-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICARE GROUP PTAN",
            "identifier": "2347666",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "140R1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1901307",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICARE INDIVIDUAL PTAN",
            "identifier": "2043049",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.