Gordon H Martin MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J5107 Issued in TX

Legal business name

GORDON H MARTIN MD PA

Practice address

333 N Texas Ave
Ste 4200
Webster, TX 77598-4966

Phone

(281) 332-3142

Fax

(281) 332-7568

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Gordon H Martin, MD

Title

President

Phone

(281) 332-3142

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• GORDON H MARTIN MD PA Doing business as

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1659304566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N TEXAS AVE",
            "address_2": "STE 4200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984966",
            "telephone_number": "281-332-3142",
            "fax_number": "281-332-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N TEXAS AVE",
            "address_2": "STE 4200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984966",
            "telephone_number": "281-332-3142",
            "fax_number": "281-332-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON H MARTIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-332-3142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8937",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0041NZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197308302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GORDON H MARTIN MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Webster, TX
• Providers in Webster, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.