Organization Active NPI

Martin Adult Healthcare

  • Primary Care Clinic/Center
  • Parkland, FL
National Provider Identifier
1598026585
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME109481 Issued in FL
Legal business name
MARTIN ADULT HEALTHCARE
Practice address
8164 NW 122ND LN
Parkland, FL 33076-4938
Phone
(561) 289-9694
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Andrew Ryan Martin, MD
Title
President
Phone
(561) 289-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME109481 FL Primary

Addresses

Primary practice location

8164 NW 122ND LN
Parkland, FL 33076-4938

Mailing address

8164 NW 122ND LN
Parkland, FL 33076-4938
Phone (561) 289-9694

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1598026585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8164 NW 122ND LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764938",
            "telephone_number": "561-289-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8164 NW 122ND LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764938",
            "telephone_number": "561-289-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ADULT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-289-9694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME109481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.