Active NPI
James H Martin Jr., M.D.
- Surgery Physician
- Ashland, KY
National Provider Identifier
1669529327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 28331
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64283310 | Medicaid | KY | |
| 000000042823 | Other | KY | ANTHEM BLUE ACCESS NUMBER |
| 020045216 | Other | MEDICARE RR | |
| 0866068 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111017000415 | KY | Practitioner - General Surgery | 1759553795 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.