Active NPI
Jesus a Martinez MD PC
- General Practice Physician
- Dearborn, MI
National Provider Identifier
1598989238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- JM031056
- Legal business name
- JESUS A MARTINEZ MD PC
- Practice address
- 2012 Monroe Blvd Suite 104
Dearborn, MI 48124 - Phone
- (313) 359-0222
- NPI assigned
- Apr 12, 2007
- Last updated
- Jun 21, 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
- Jesus Martinez, MD
- Title
- General Practice
- Phone
- (313) 359-0222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | JM031056 | MI | Primary |
Addresses
Primary practice location
2012 Monroe Blvd Suite 104
Dearborn, MI 48124
Mailing address
2012 Monroe Blvd Suite 104
Dearborn, MI 48124
Phone (313) 359-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4241325 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1598989238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 MONROE BLVD SUITE 104",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124",
"telephone_number": "313-359-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 MONROE BLVD SUITE 104",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124",
"telephone_number": "313-359-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESUS A MARTINEZ MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "JESUS",
"authorized_official_title_or_position": "GENERAL PRACTICE",
"authorized_official_telephone_number": "313-359-0222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "JM031056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4241325",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
- Elizabeth Cherita Jenkins, NP
- Jennifer L. Ozeir, M.D., P.C. (Women's Health of Dearborn)
- Abigail Margarete Schieb Jennings
- Ricky Lee Jentons, MALLP
- Jeremy D Copple DC PC
- Jiab Suleiman, DO, P.C. (Premier Orthopedics)
- Ibrahim Khaled Jilani, MD
- Syed Irfan Haider Jilani, D.P.T.
- Sonia Jishi
- Prizy Job, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.