Martin Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARTIN FAMILY MEDICINE LLC

Practice address

1625 5TH St
Clarkston, WA 99403-3001

Phone

(509) 751-9981

Fax

(509) 751-9983

NPI assigned

Jul 28, 2009

Last updated

Jul 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Barclay Martin, M.D.NPI 1083652846

Title

Physician

Phone

(509) 751-9981

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David B Martin, M.D.

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1083652846
  Authorized official Same address or phone
• Teresa Diane Muro-Martin, SLPA

  • Speech-Language Assistant
  • Ontario, CA
  • NPI 1316131691
  NPD
• Melody Jean Acey, LMP LICENSED MASSAGE

  • Massage Therapist
  • Clarkston, WA
  • NPI 1538226311
  NPD (past)
• Brian Francis Ciezki, ACNP

  • Adult Health Nurse Practitioner
  • Clarkston, WA
  • NPI 1205221041
  NPD (past)
• Brandon Lane Whitlock, AG-ACNP

  • Family Nurse Practitioner
  • Clarkston, WA
  • NPI 1124353719
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1710118542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 5TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033001",
            "telephone_number": "509-751-9981",
            "fax_number": "509-751-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 5TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033001",
            "telephone_number": "509-751-9981",
            "fax_number": "509-751-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BARCLAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-751-9981",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Maas, DPT
• Jayme T. Mackay, M.D.
• Jagjit Mangat, MD
• John W Mannschreck, M.D.
• Carmen Margeson
• David B Martin, M.D.
• Melissa Martinez
• Marie Laurie Al Martson, RN
• Marissa Martz
• Catherine A Massee, BS, CDP

• Family Medicine Physician in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.