Active NPI
James Alexander Martin, AU.D.
- Audiologist
- Ashland, KY
National Provider Identifier
1710909049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- KY-0334
- Practice address
- 480 23Rd St
Ashland, KY 41101-7858 - Phone
- (606) 327-6202
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | KY-0334 | KY | Primary |
| Audiologist | 231H00000X | 01147 | OH | |
| Audiologist-Hearing Aid Fitter | 237600000X | 0770 | KY |
Addresses
Primary practice location
480 23Rd St
Ashland, KY 41101-7858
Mailing address
480 23Rd St
Ashland, KY 41101-7858
Phone (606) 327-6202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50000108 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0770 | KY | MD | Clinical Social Worker |
| KY-0334 | KY | MD | Audiologist |
| 01147 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical Inc | Current | Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1710909049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 23RD ST",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017858",
"telephone_number": "606-327-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 23RD ST",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017858",
"telephone_number": "606-327-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JAMES",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "KY-0334",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "01147",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KY",
"license": "0770",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50000108",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.