Martin Clinic, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARTIN CLINIC, PLLC

Practice address

122 N Bailey St
Pryor, OK 74361-4202

Phone

(918) 825-0216

Fax

(918) 824-1919

NPI assigned

Aug 25, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Martin, MDNPI 1619046323

Title

Owner/Sole Member

Phone

(918) 825-0216

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Eugene Martin, MD

  • Internal Medicine Physician
  • Pryor, OK
  • NPI 1619046323
  Medicare reassignment NPD Authorized official
• Thomas Eliot Martin, RN, MSN, ACNP

  • Acute Care Nurse Practitioner
  • Pryor, OK
  • NPI 1356414643
  Medicare reassignment NPD

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1811875032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N BAILEY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614202",
            "telephone_number": "918-825-0216",
            "fax_number": "918-824-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N BAILEY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614202",
            "telephone_number": "918-825-0216",
            "fax_number": "918-824-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "918-825-0216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Jo Lyons
• Aryia Shelbie Jolene Maddux, LPN
• Ronita Jo Mann
• Danielle Marceleno
• Mark R Doherty DDS PC
• Ida Martin, PHARM D
• Mark R. Martin, D.PH
• Megan Martin
• Richard Eugene Martin, MD
• Thomas Eliot Martin, RN, MSN, ACNP

• Internal Medicine Physician in Pryor, OK
• Providers in Pryor, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.

Verify at the official NPI Registry.