Martin Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 85669 Issued in FL

Legal business name

MARTIN PRIMARY CARE LLC

Practice address

3257 SE Salerno Rd
Stuart, FL 34997-6736

Phone

(772) 287-9144

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Ahmad Fadel, M.DNPI 1285640169

Title

Member

Phone

(772) 287-9143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Martin Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martin Primary Care LLC

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1790934909
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmad Fadel, MD

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1285640169
  Medicare reassignment Care Compare group NPD Authorized official
• Pamela Beth Henry-Williams, ARNP

  • Family Nurse Practitioner
  • Palm Springs, FL
  • NPI 1053863894
  Medicare reassignment Care Compare group NPD
• Sandra Velasquez, ARNP

  • Family Nurse Practitioner
  • Stuart, FL
  • NPI 1710401104
  Medicare reassignment NPD

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1700036951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976736",
            "telephone_number": "772-287-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976736",
            "telephone_number": "772-287-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "FADEL",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "772-287-9143",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 85669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Memorial Medical Center Inc (Martin Memorial Medical Center Outpatient Pharmacy)
• Martin Memorial Medical Center Inc (Cleveland Clinic Martin North, South, Tradition Hospitals)
• Martin Memorial Medical Center Inc (Cleveland Clinic Martin North, South, Tradition Hospitals)
• Martin Memorial Physician Corporation Inc
• Martin Operating Corp (Marting Nursing & Restorative Care Center)
• Martin Primary Care LLC
• Martin Rehabilitation Center LLC (Sailfish Cove Nursing & Rehab Center)
• Carol Lynn Martin, COTA
• Chantell Martin
• Emily Ann Martin

• Internal Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.