Active NPI
Thomas Patrick Martin Jr., MD
- Emergency Medicine Physician
- Mt Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD044453E
- Practice address
- 1528 Red Tide Rd
Mt Pleasant, SC 29466-9406 - Phone
- (412) 427-5688
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD044453E | PA | Primary |
Addresses
Primary practice location
1528 Red Tide Rd
Mt Pleasant, SC 29466-9406
Mailing address
1528 Red Tide Rd
Mt Pleasant, SC 29466-9406
Phone (412) 427-5688
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3004639000 | Medicaid | WV | |
| 2768401 | Medicaid | OH | |
| 0012340960006 | Medicaid | PA |
Other names 1
- Thomas Patrick Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, SC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Harvard Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Phone (843) 881-0100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044453E | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilton Head Emergency Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Hilton Head Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Montgomery PC | Emergency Medicine | Current | Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| West Penn Allegheny Health System, Inc. | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Hilton Head Island, SC
- NPI 1326047176
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Emergency Medicine Physician
- Hardeeville, SC
- NPI 1265680391
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1467466789
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1811982960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 RED TIDE RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294669406",
"telephone_number": "412-427-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 RED TIDE RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294669406",
"telephone_number": "412-427-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD044453E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004639000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2768401",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012340960006",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THOMAS",
"last_name": "MARTIN",
"middle_name": "PATRICK",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.