Gregory Joseph Martonick, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

252-09-0018690 Issued in WA

Practice address

320 W Willow St Ste 6
Walla Walla, WA 99362-2922

Phone

(509) 525-4840

Fax

(509) 529-7355

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689758195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1793",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620351",
            "telephone_number": "509-525-4840",
            "fax_number": "509-529-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W WILLOW ST STE 6",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622922",
            "telephone_number": "509-525-4840",
            "fax_number": "509-529-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTONICK",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WA",
            "license": "252-09-0018690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300342",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I NUMBER",
            "identifier": "0063736",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patty Lynn Martin, D.D.S.
• Stephanie Martin
• Evelyn Martindale, ARNP
• Laura Martinez Hughes, LMHCA, AA, MHP
• Vernardino Martinez
• Kenna E Marx, PHARMD
• Roberto Masferrer, L.AC, M.AC.O.M.
• Anne Michele Mason, ARNP
• Cassandra Mason, RDN
• James C Mason, M.D.

• Allergy Physician in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Allergy Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.