Organization Active NPI

Leona M Martin MD PLLC

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1518023100
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21951 Issued in AZ
Legal business name
LEONA M MARTIN MD PLLC
Practice address
1841 W 25TH St
Ste B
Yuma, AZ 85364-6910
Phone
(928) 726-8600
Fax
(928) 726-8610
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Leona Martin, MD
Title
MD
Phone
(928) 726-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 21951 AZ Primary

Addresses

Primary practice location

1841 W 25TH St
Ste B
Yuma, AZ 85364-6910

Mailing address

1841 W 25TH St
Ste B
Yuma, AZ 85364-6910
Phone (928) 726-8600

Other identifiers 1

IdentifierTypeStateIssuer
154500MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1518023100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 W 25TH ST",
            "address_2": "STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646910",
            "telephone_number": "928-726-8600",
            "fax_number": "928-726-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 W 25TH ST",
            "address_2": "STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646910",
            "telephone_number": "928-726-8600",
            "fax_number": "928-726-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONA M MARTIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LEONA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "928-726-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "21951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.