Individual provider Active NPI

Joseph E Martin, MD

  • Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1710983994
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D0959 Issued in TX
Practice address
7707 Ewing Halsell Dr Ste 103
San Antonio, TX 78229-4040
Phone
(210) 692-0577
Fax
(210) 692-1210
NPI assigned
Jun 22, 2005
Reactivated
Mar 27, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X D0959 TX
Gynecology Physician 207VG0400X D0959 TX Primary

Addresses

Primary practice location

7707 Ewing Halsell Dr Ste 103
San Antonio, TX 78229-4040

Mailing address

7707 Ewing Halsell Dr Ste 103
San Antonio, TX 78229-4040
Phone (210) 692-0577

Other identifiers 2

IdentifierTypeStateIssuer
74-2011840OtherTXTAX IDENTIFICATION NUMBER
Z000T79U6MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0959TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Martin MD PA Multi-Specialty CurrentSince Nov 20, 1995 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Independent Physicians Network PLLC Multi-Specialty PastSince Aug 18, 2024 Accepting new patients

Locations

4499 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 692-0577

4499 Medical Dr
Ste 360
San Antonio, TX 78229
Phone (210) 614-3100

7707 Ewing Halsell Dr
Ste 103
San Antonio, TX 78229
Phone (210) 692-0577

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1710983994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 EWING HALSELL DR STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294040",
            "telephone_number": "210-692-0577",
            "fax_number": "210-692-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 EWING HALSELL DR STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294040",
            "telephone_number": "210-692-0577",
            "fax_number": "210-692-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "D0959",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "D0959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "74-2011840",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000T79U6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.