Active NPI
Martin a V Tuma MD Vascular Surgery PLLC
- Vascular Surgery Physician
- Southfield, MI
National Provider Identifier
1780919936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 41055
- Legal business name
- MARTIN A V TUMA MD VASCULAR SURGERY PLLC
- Practice address
- 22255 Greemfield Road #250
Southfield, MI 48075 - Phone
- (248) 559-1266
- Fax
- (248) 559-5499
- NPI assigned
- Oct 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin A Tuma, MD
- Title
- Owner
- Phone
- (248) 559-1266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 41055 | MI | Primary |
Addresses
Primary practice location
22255 Greemfield Road #250
Southfield, MI 48075
Mailing address
22255 Greemfield Road #250
Southfield, MI 48075
Phone (248) 559-1266
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020630705 | Other | MI | BC/BS |
| 020005310 | Other | MI | RAILROAD MEDICARE |
| 0630705 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
| 1656836 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22255 Greenfield Rd
Ste 250
Southfield, MI 48075
Phone (248) 559-1266
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Southfield, MI
- NPI 1154331858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407196800000",
"number": "1780919936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22255 GREEMFIELD ROAD #250",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-559-1266",
"fax_number": "248-559-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22255 GREEMFIELD ROAD #250",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-559-1266",
"fax_number": "248-559-5499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN A V TUMA MD VASCULAR SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-06",
"last_updated": "2014-08-05",
"status": "A",
"authorized_official_last_name": "TUMA",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-559-1266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "41055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "020630705",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020005310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "0630705",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1656836",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.