Jack L. Martin, M.D., P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

JACK L. MARTIN, M.D., P.A.

Practice address

415 Wyntre Lea Dr
Bryn Mawr, PA 19010-2038

Phone

(610) 525-7343

NPI assigned

Mar 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jack Lee Martin, M.D.

Title

Owner

Phone

(610) 525-7343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1619148848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WYNTRE LEA DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102038",
            "telephone_number": "610-525-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WYNTRE LEA DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102038",
            "telephone_number": "610-525-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK L. MARTIN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-15",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-525-7343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Lynne Iuliano, CCC-SLP
• Praise Iyiewuare, PHD
• Taylor Jaaska, MSN, CNM, WHNP-BC
• Judith Lee Jabloner, M.D.
• Madelyn Jablonski
• Tyler Jackson, MS, LAT, ATC
• Zita Elizabeth Jackson, DO
• Carly Jacobs, DMD
• Serena E.S. Jacobs, LCSW
• Heather Annette Jacoby, LCSW

• Cardiovascular Disease Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.