Individual provider Active NPI

James E Martin, DO

  • General Practice Physician
  • Stow, OH
National Provider Identifier
1811989593
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34003458 Issued in OH
Practice address
3913 Darrow Rd.
Suite 100
Stow, OH 44224
Phone
(330) 688-7900
Fax
(330) 688-1866
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34003458 OH Primary

Addresses

Primary practice location

3913 Darrow Rd.
Suite 100
Stow, OH 44224

Mailing address

3913 Darrow Rd.
Suite 100
Stow, OH 44224
Phone (330) 688-7900

Other identifiers 1

IdentifierTypeStateIssuer
0527602MedicaidOH

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bes of Ohio, LLC, Dba Medgroup CurrentSince Feb 28, 2010 Accepting new patients
Health Care Center Physicians, Inc. Past Accepting new patients

Locations

2640 W Market St
Fairlawn, OH 44333
Phone (330) 864-1916

3913 Darrow Rd
#100
Stow, OH 44224
Phone (330) 688-7900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1811989593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 DARROW RD.",
            "address_2": "SUITE 100",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-688-7900",
            "fax_number": "330-688-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 DARROW RD.",
            "address_2": "SUITE 100",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-688-7900",
            "fax_number": "330-688-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34003458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0527602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.