Individual provider Active NPI

Laurence J Martin, M.D.

  • Surgery Physician
  • Hudson, FL
National Provider Identifier
1669432795
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0073800 Issued in FL
Practice address
7543 Medical Dr
Hudson, FL 34667-6502
Phone
(727) 868-7800
Fax
(727) 868-7866
NPI assigned
Mar 24, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0073800 FL Primary

Addresses

Primary practice location

7543 Medical Dr
Hudson, FL 34667-6502

Mailing address

7543 Medical Dr
Hudson, FL 34667-6502
Phone (727) 868-7800

Other identifiers 1

IdentifierTypeStateIssuer
254512800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050728000324 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 2668400094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Surgical Group LLPGroup PAC ID 8224113527, 16 clinicians

Practice addresses (Care Compare)

2901 W Busch Blvd
Suite 707
Tampa, FL 33618-4569

3000 Medical Park Dr
Suite 400
Tampa, FL 33613-4698
Phone (813) 933-9666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)40
Melanoma (skin cancer) excision15
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0073800FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Surgical Group, LLP Surgery CurrentSince Apr 1, 2013 Accepting new patients
Tampa Bay Surgical Group LLP Surgery Past Accepting new patients
Community Hospital Family Practice LLC Surgery Past Accepting new patients

Locations

7543 Medical Dr
Hudson, FL 34667
Phone (727) 868-7800

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

606 S Boulevard
Tampa, FL 33606
Phone (813) 254-3016

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: laurencemartin@tbsg.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1669432795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7543 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-868-7800",
            "fax_number": "727-868-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7543 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-868-7800",
            "fax_number": "727-868-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAURENCE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0073800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254512800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.