Martin Ear Nose & Throat Clinic

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

R8494 Issued in MO

Legal business name

MARTIN EAR NOSE & THROAT CLINIC

Practice address

37 Doctors Park
Suite 1
Cape Girardeau, MO 63703-4956

Phone

(573) 332-7000

Fax

(573) 332-7005

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Martin, MD

Title

Owner Physician

Phone

(573) 335-6163

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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

• Tara A Carman, AUD

  • Audiologist
  • Saint Louis, MO
  • NPI 1407529498
  NPD (past)
• Sarah A Hickey, AU.D.

  • Audiologist
  • Cape Girardeau, MO
  • NPI 1912171588
  NPD (past)
• Louis Kouo, MD

  • Gastroenterology Physician
  • Cape Girardeau, MO
  • NPI 1609897941
  NPD (past)
• Lara E Noble, MS CCC-A

  • Audiologist
  • Chesterfield, MO
  • NPI 1528020724
  NPD (past)
• Allie Adams, AU.D.

  • Audiologist
  • Herrin, IL
  • NPI 1740998988
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1730469693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 DOCTORS PARK",
            "address_2": "SUITE 1",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034956",
            "telephone_number": "573-332-7000",
            "fax_number": "573-332-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 DOCTORS PARK",
            "address_2": "SUITE 1",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034956",
            "telephone_number": "573-332-7000",
            "fax_number": "573-332-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN EAR NOSE & THROAT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "573-335-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MO",
            "license": "R8494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200764918",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subir Mann
• Maple Crest Manor LLC
• Laura Marble, MD
• Marion Eye Centers, LTD.
• Thomas W Marsh, M.D.
• Amanda Dee Martin, ATC, LAT
• Ann Catherine Martin, DDS
• Johna Martin, RBT
• Richard Allan Martin, MD
• Alicia Arnzen Martinec, LPC

• Otolaryngology/Facial Plastic Surgery Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.