Organization Active NPI

Lawrence Martin MD SC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Arlington Heights, IL
National Provider Identifier
1568680635
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
LAWRENCE MARTIN MD SC
Practice address
1430 N Arlington Heights Rd
Suite 214
Arlington Heights, IL 60004-4830
Phone
(847) 255-7773
Fax
(847) 255-7803
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Lawrence O Martin, M.D.NPI 1437260502
Title
President
Phone
(847) 255-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X IL Primary

Addresses

Primary practice location

1430 N Arlington Heights Rd
Suite 214
Arlington Heights, IL 60004-4830

Mailing address

1430 N Arlington Heights Rd
Suite 214
Arlington Heights, IL 60004-4830
Phone (847) 255-7773

Other names 1

  • ARLINGTON ENT HEAD AND NECK AND FACIAL PLASTIC SURGERY Other name

National Provider Directory

National Provider Directory

Locations

1430 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (312) 877-0035

1430 N Arlington Heights Rd
Ste 214
Arlington Heights, IL 60004
Phone (847) 255-7773

Practitioners & affiliated clinicians

Practitioners 3

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1568680635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 214",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-255-7773",
            "fax_number": "847-255-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 214",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-255-7773",
            "fax_number": "847-255-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE MARTIN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-255-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARLINGTON ENT HEAD AND NECK AND FACIAL PLASTIC SURGERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.