Organization Active NPI

Martech Investment Corporation

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1821183062
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Lizzy R Thomas, MDNPI 1255368924
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
037462800MedicaidFL

Other names 1

  • Martech Investment Corporation, Lizzy Thomas MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111202000424 FL Part B Supplier - Clinic/Group Practice 1850566894 Receives reassigned benefits from 1 practitioner
Practice locations: Rockledge, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.