Shane L Martin, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

34339 Issued in AZ

Practice address

20401 N 73Rd St Ste 160
Scottsdale, AZ 85255-4149

Phone

(623) 208-7979

Fax

(800) 483-0729

NPI assigned

Jan 17, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• R&E Assists LLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
  • NPI 1619568466
  NPD (past) Authorized official
• Scottsdale Center for Robotic Surgery, PLLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
  • NPI 1497343693
  NPD
• Institute for Bone and Joint Disorders PC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1376513291
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672531200000",
    "number": "1659351682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554149",
            "telephone_number": "623-208-7979",
            "fax_number": "800-483-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554149",
            "telephone_number": "623-208-7979",
            "fax_number": "800-483-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHANE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "34339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "583819",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3Z5706",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Mather Martin, MD
• Maria Leona Martin
• Michelle Susanne Martin, LCSW
• Pamela None Martin, LCSW
• Penny S. Martin
• Tabitha Amber Martin, MSC
• Jennifer Ann Martineau, RPH
• Lauren Kelly Martinet
• Manal Martinez Aljoborri
• Susana Martinez Diaz, MD

• Orthopaedic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.