Active NPI
Jeffery Merle Martin, M.D.
- Neonatal-Perinatal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1811949563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 28341
- Practice address
- 901 E Willetta St
Room 2503
Phoenix, AZ 85006-2727 - Phone
- (602) 239-5166
- Fax
- (602) 239-2307
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 28341 | AZ | Primary |
Addresses
Primary practice location
901 E Willetta St
Room 2503
Phoenix, AZ 85006-2727
Mailing address
37 W Sierra Vista Dr
Phoenix, AZ 85013-1200
Phone (602) 957-8767
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28341 | AZ | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1811949563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W SIERRA VISTA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850131200",
"telephone_number": "602-957-8767",
"fax_number": "602-265-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E WILLETTA ST",
"address_2": "ROOM 2503",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062727",
"telephone_number": "602-239-5166",
"fax_number": "602-239-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JEFFERY",
"middle_name": "MERLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "28341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.