Rick Martin, MD
Individual provider Active NPI Emergency Medicine Physician · Henderson, TN
NPI 1851481352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851481352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 3405 (NV)
- Practice address
- 102 E. Lake Mead Drive
Henderson, TN 89015 - Phone
- (330) 493-4443
- Fax
- (330) 493-8677
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3405 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3405 | NV | Yes |
Addresses
Primary practice location
102 E. Lake Mead Drive
Henderson, TN 89015
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other providers in Henderson, TN
- Shonda Little
- Amy Nichole Lofton
- David Allen Magee
- Main Street Family Medicine Inc
- Tara Lynn Marbrey
- Sara Massey
- Brian McCarver
- Gayle Marie McDonald
- Paul McDonald
- Charles Daron McNatt
All providers in Henderson, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.