Active NPI
Jonathan Martins, MD
- Family Medicine Physician
- Three Rivers, MI
National Provider Identifier
1730562786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301113981
- Practice address
- 655 S Erie St
Three Rivers, MI 49093 - Phone
- (269) 273-6949
- NPI assigned
- Jul 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301113981 | MI | Primary |
Addresses
Primary practice location
655 S Erie St
Three Rivers, MI 49093
Mailing address
655 S Erie St
Three Rivers, MI 49093-2060
Phone (269) 273-6949
Other practice location 1
1221 E State St
Rockford, IL 61104-2231
Phone (815) 972-1000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1730562786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S ERIE ST",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490932060",
"telephone_number": "269-273-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S ERIE ST",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "49093",
"telephone_number": "269-273-6949"
}
],
"practiceLocations": [
{
"address_1": "1221 E State St",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611042231",
"country_code": "US",
"telephone_number": "815-972-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINS",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301113981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Three Rivers, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.