Active NPI
Tamara L Martin, MD
- Orthopaedic Surgery Physician
- Chestnut Hill, MA
National Provider Identifier
1689625642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 81839
- Practice address
- 850 Boylston Street
Brigham and Womens Hospital Dept of Orthopedic Surgery
Chestnut Hill, MA 02467 - Phone
- (617) 732-5724
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 81839 | MA | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MA81839 | MA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | MA81839 | MA |
Addresses
Primary practice location
850 Boylston Street
Brigham and Womens Hospital Dept of Orthopedic Surgery
Chestnut Hill, MA 02467
Mailing address
850 Boylston Street
Brigham and Womens Hospital Dept of Orthopedic Surgery
Chestnut Hill, MA 02467
Phone (617) 732-5724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA81839 | MA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1689625642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BOYLSTON STREET",
"address_2": "BRIGHAM AND WOMENS HOSPITAL DEPT OF ORTHOPEDIC SURGERY",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "02467",
"telephone_number": "617-732-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BOYLSTON STREET",
"address_2": "BRIGHAM AND WOMENS HOSPITAL DEPT OF ORTHOPEDIC SURGERY",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "02467",
"telephone_number": "617-732-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TAMARA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "81839",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MA",
"license": "MA81839",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MA",
"license": "MA81839",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.