Individual provider Active NPI

Michael A. Martin, MD

  • Anesthesiology Physician
  • Ashland, OH
National Provider Identifier
1740276492
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.064713 Issued in OH
Practice address
1025 Center St
Ashland, OH 44805-4011
Phone
(419) 289-0491
Fax
(419) 207-2622
NPI assigned
Sep 27, 2005
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.064713 OH Primary

Addresses

Primary practice location

1025 Center St
Ashland, OH 44805-4011

Mailing address

601 Washington Ave
Newport, KY 41071-1986
Phone (859) 291-4800

Other identifiers 1

IdentifierTypeStateIssuer
0154372MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000886 OH Practitioner - Anesthesiology 6103715404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Cincinnati College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Anesthesia PSC IncGroup PAC ID 7113816646, 4 clinicians

Practice addresses (Care Compare)

1025 Ctr St
Ashland, OH 44805-4011
Phone 41928904913245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.064713OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Anesthesia, PSC. Inc. Anesthesiology CurrentSince Feb 6, 2001 Accepting new patients
Professional Anesthesia Associates, Inc. Past Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

Interoperability endpoints

  • Direct secure messaging: mmartin32901@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1740276492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711986",
            "telephone_number": "859-291-4800",
            "fax_number": "859-655-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054011",
            "telephone_number": "419-289-0491",
            "fax_number": "419-207-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.064713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.