Martin MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00048680 Issued in WA

Legal business name

MARTIN MD

Practice address

1309 Scenic Dr
Prosser, WA 99350-1237

Phone

(509) 303-9570

NPI assigned

May 9, 2013

Organization subpart

No

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

Authorized official

Name

Walburga S Martin, MD

Title

Owner

Phone

(509) 303-9570

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1508201062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SCENIC DR",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501237",
            "telephone_number": "509-303-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SCENIC DR",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501237",
            "telephone_number": "509-303-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WALBURGA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-303-9570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00048680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Lusk, PTA
• Mariela Hermosillo Macias, LMP
• Joshua A Macke, DO
• Evan Malcom
• Michaela B. Mann, LMP
• Federico Martinez
• Emmalee Mason, MS CF-SLP
• Bruce McCorkindale
• Benjamin Cody McIntosh, D.C.
• Margaret May McLain, LMP

• Family Medicine Physician in Prosser, WA
• Providers in Prosser, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.