Organization Active NPI

David V. Martini, M.D. P.a.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Elkton, MD
National Provider Identifier
1508811928
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
DAVID V. MARTINI, M.D. P.A.
Practice address
330 E Pulaski Hwy
Elkton, MD 21921-6435
Phone
(410) 398-3445
Fax
(410) 620-1538
NPI assigned
May 24, 2006
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. David V. Martini, M.D.
Title
Authorized Official
Phone
(410) 398-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Primary

Addresses

Primary practice location

330 E Pulaski Hwy
Elkton, MD 21921-6435

Mailing address

PO Box 8571
Lancaster, PA 17604-8571
Phone (410) 398-3445

Other identifiers 9

IdentifierTypeStateIssuer
248474YJQXOtherDEINDIVIDUAL MEDICARE PTAN
405979400OtherMDGROUP MEDICAID ID
248471OtherDEGROUP MEDICARE PTAN
500MOtherMDGROUP MEDICARE PTAN
512502200OtherMDINDIVIDUAL MEDICAID ID
P00209459OtherMDMEDICARE RAILROAD
500M759FOtherMDINDIVIDUAL MEDICARE PTAN
1235170572OtherDEINDIVIDUAL MEDICAID ID
1508811928OtherDEGROUP MEDICAID ID

National Provider Directory

National Provider Directory

Locations

212 Carter Dr
Ste D
Middletown, DE 19709
Phone (302) 261-8200

819 N Broad St
Middletown, DE 19709
Phone (302) 378-1560

300 E Pulaski Hwy
Ste 108
Elkton, MD 21921
Phone (302) 595-3670

330 E Pulaski Hwy
Elkton, MD 21921
Phone (410) 398-3445

330 E Pulaski Hwy
Ste 108
Elkton, MD 21921
Phone (410) 398-6570

2007 Rock Spring Rd
Lowr
Forest Hill, MD 21050
Phone (410) 879-2474

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1508811928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8571",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176048571",
            "telephone_number": "410-398-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216435",
            "telephone_number": "410-398-3445",
            "fax_number": "410-620-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID V. MARTINI, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "410-398-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN",
            "identifier": "248474YJQX",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID ID",
            "identifier": "405979400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "248471",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "500M",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICAID ID",
            "identifier": "512502200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00209459",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN",
            "identifier": "500M759F",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICAID ID",
            "identifier": "1235170572",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID ID",
            "identifier": "1508811928",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.