William Joseph Martin, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

9400297 Issued in NC

Practice address

505 Samaritans Ridge CT
Elkin, NC 28621-2457

Phone

(336) 526-1181

Fax

(336) 526-1807

NPI assigned

Oct 3, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

West Virginia School of Osteopathic Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wmartin2960215@carolinashealthcaresystem.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment Care Compare group NPD
• Amsol Physicians of Elkin NC

  • Anesthesiology Physician
  • Elkin, NC
  • NPI 1801989504
  NPD
• Piedmont Community Physicians PC

  • Phlebology Physician
  • Winston Salem, NC
  • NPI 1972915510
  NPD (past)
• Piedmont Triad Anesthesia, PA

  • Anesthesiology Physician
  • Winston Salem, NC
  • NPI 1467497081
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hugh Chatham Memorial Hospital Inc

  • General Acute Care Hospital
  • Elkin, NC
  • NPI 1942361308
  Care Compare affiliation
• Hugh Chatham Memorial Hospital, Inc.

  dba Hugh Chatham Health Family Medicine Residency

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1679428486

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629163209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5368",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272625368",
            "telephone_number": "800-800-1617",
            "fax_number": "717-653-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SAMARITANS RIDGE CT",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212457",
            "telephone_number": "336-526-1181",
            "fax_number": "336-526-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9400297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954529",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1373U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Maclean
• Nicole J Manigault, DDS
• Jennifer Coe Marion, ANP-BC
• Wade Ashley Marion, PA
• Sydney Irene Marshall, MS, RDN, LDN
• Basel Matalka
• Martha E Matthews, CPO
• Mark Monroe Mayes, FNP-C
• Michael McGowan, DPM
• Peter F McIlveen, M.D.

• Anesthesiology Physician in Elkin, NC
• Providers in Elkin, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.