Active NPI
Martech Investment Corporation
- Internal Medicine Physician
- Rockledge, FL
National Provider Identifier
1821183062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MARTECH INVESTMENT CORPORATION
- Practice address
- 1024 Florida Ave S
Suite B
Rockledge, FL 32955-2152 - Phone
- (321) 636-8032
- Fax
- (321) 639-2277
- NPI assigned
- Oct 4, 2006
- 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
- Lizzy R Thomas, MD
- Title
- President
- Phone
- (321) 636-8032
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1024 Florida Ave S
Suite B
Rockledge, FL 32955-2152
Mailing address
1024 Florida Ave S
Suite B
Rockledge, FL 32955-2152
Phone (321) 636-8032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037462800 | Medicaid | FL |
Other names 1
- Martech Investment Corporation, Lizzy Thomas MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1024 Florida Ave S
Rockledge, FL 32955
Phone (321) 636-8032
1024 Florida Ave S
Ste B
Rockledge, FL 32955
Phone (321) 636-8032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rockledge, FL
- NPI 1255368924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1821183062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 FLORIDA AVE S",
"address_2": "SUITE B",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552152",
"telephone_number": "321-636-8032",
"fax_number": "321-639-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 FLORIDA AVE S",
"address_2": "SUITE B",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552152",
"telephone_number": "321-636-8032",
"fax_number": "321-639-2277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTECH INVESTMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "LIZZY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-636-8032",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037462800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Martech Investment Corporation, Lizzy Thomas MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.