Individual provider Active NPI

Royce Gregory Martens, DO

  • Family Medicine Physician
  • Madill, OK
National Provider Identifier
1760484547
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2179 Issued in OK
Practice address
207 E Taliaferro St
Madill, OK 73446-3410
Phone
(580) 677-9500
Fax
(580) 677-9505
NPI assigned
Aug 11, 2005
Last updated
Nov 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2179 OK Primary

Addresses

Primary practice location

207 E Taliaferro St
Madill, OK 73446-3410

Mailing address

207 E Taliaferro St
Madill, OK 73446-3410
Phone (580) 677-9500

Other identifiers 2

IdentifierTypeStateIssuer
100123700CMedicaidOK
080016807OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050308001032 OK Practitioner - Family Practice 9133177884 Practice locations: Madill, OK

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Healthcare of Oklahoma Inc Past Accepting new patients
Baptist Healthcare of Oklahoma, Inc Past Accepting new patients
Marshall County HMPN, LLC Family Medicine Past Accepting new patients

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1760484547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E TALIAFERRO ST",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463410",
            "telephone_number": "580-677-9500",
            "fax_number": "580-677-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E TALIAFERRO ST",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734463410",
            "telephone_number": "580-677-9500",
            "fax_number": "580-677-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "ROYCE",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123700C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080016807",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madill, OK

Sources for this page

Verify at the official NPI Registry.