Active NPI
Martin, Plunkett, MD, LLC
Doing business as Martin and Plunkett, M.D., P.a.
- Urology Physician
- Pensacola, FL
National Provider Identifier
1508842204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK5465 | Other | FL | MEDICARE RAILROAD |
| 378063500 | Medicaid | FL | |
| 77493 | Other | FL | BLUE CROSS BLUE SHIELD |
| 529913170 | Medicaid | AL |
Other names 2
- MARTIN AND PLUNKETT, M.D., P.A.
- MARTIN, PLUNKETT AND WEHRY, M.D., P.L.
National Provider Directory
National Provider DirectoryLocations
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.