Individual provider Active NPI

Joseph Crosby Martin, M.D.

  • Surgery Physician
  • Park Hills, KY
National Provider Identifier
1679854830
Registry record updated Feb 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24829 Issued in KY
Practice address
1158 Cleveland Ave
Park Hills, KY 41011-5606
Phone
(859) 292-8068
Fax
(859) 261-7860
NPI assigned
Sep 1, 2011
Last updated
Feb 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24829 KY Primary
Surgery Physician 208600000X 24961 CO

Addresses

Primary practice location

1158 Cleveland Ave
Park Hills, KY 41011-5606

Mailing address

1158 Cleveland Ave
Park Hills, KY 41011-5606
Phone (859) 292-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24961COMDSurgery Physician
24829KYMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1679854830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 CLEVELAND AVE",
            "city": "PARK HILLS",
            "state": "KY",
            "postal_code": "410115606",
            "telephone_number": "859-292-8068",
            "fax_number": "859-577-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 CLEVELAND AVE",
            "city": "PARK HILLS",
            "state": "KY",
            "postal_code": "410115606",
            "telephone_number": "859-292-8068",
            "fax_number": "859-261-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSEPH",
        "middle_name": "CROSBY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "24829",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "24961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; 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.