Organization Active NPI

Martin, Plunkett, MD, LLC

Doing business as Martin and Plunkett, M.D., P.a.

  • Urology Physician
  • Pensacola, FL
National Provider Identifier
1508842204
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MARTIN, PLUNKETT, MD, LLC
Doing business as
Martin and Plunkett, M.D., P.a.
Practice address
545 Brent LN
Pensacola, FL 32503-2003
Phone
(850) 477-5437
Fax
(850) 477-3380
NPI assigned
Dec 15, 2005
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Howell J. Martin, MD
Title
Owner
Phone
(850) 477-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

545 Brent LN
Pensacola, FL 32503-2003

Mailing address

545 Brent LN
Pensacola, FL 32503-2003
Phone (850) 477-5437

Other identifiers 4

IdentifierTypeStateIssuer
CK5465OtherFLMEDICARE RAILROAD
378063500MedicaidFL
77493OtherFLBLUE CROSS BLUE SHIELD
529913170MedicaidAL

Other names 2

  • MARTIN AND PLUNKETT, M.D., P.A. Doing business as
  • MARTIN, PLUNKETT AND WEHRY, M.D., P.L. Former legal business name

National Provider Directory

National Provider Directory

Locations

5992 Berryhill Rd
Ste 102
Milton, FL 32570
Phone (850) 981-3302

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508842204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-477-5437",
            "fax_number": "850-477-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-477-5437",
            "fax_number": "850-477-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN, PLUNKETT, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HOWELL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-477-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK5465",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378063500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77493",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN AND PLUNKETT, M.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARTIN, PLUNKETT AND WEHRY, M.D., P.L.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.