Individual provider Active NPI

James H Martin Jr., M.D.

  • Surgery Physician
  • Ashland, KY
National Provider Identifier
1669529327
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
28331 Issued in KY
Practice address
900 Saint Christopher Dr
Suite 202
Ashland, KY 41101-7090
Phone
(606) 836-3770
Fax
(866) 838-3770
NPI assigned
Jan 4, 2007
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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 28331 KY Primary

Addresses

Primary practice location

900 Saint Christopher Dr
Suite 202
Ashland, KY 41101-7090

Mailing address

900 Saint Christopher Dr
Suite 202
Ashland, KY 41101-7090
Phone (606) 836-3770

Other identifiers 4

IdentifierTypeStateIssuer
64283310MedicaidKY
000000042823OtherKYANTHEM BLUE ACCESS NUMBER
020045216OtherMEDICARE RR
0866068MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20111017000415 KY Practitioner - General Surgery 1759553795

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: james.martin@jhmjmp-ky.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1669529327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017090",
            "telephone_number": "606-836-3770",
            "fax_number": "866-838-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017090",
            "telephone_number": "606-836-3770",
            "fax_number": "866-838-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "28331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64283310",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE ACCESS NUMBER",
            "identifier": "000000042823",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "020045216",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0866068",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.