Robert S Martino, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01020975 Issued in IN

Practice address

5587 Broadway
Merrillville, IN 46410-2632

Phone

(219) 887-9506

Fax

(219) 884-3761

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1861491383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5587 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102632",
            "telephone_number": "219-887-9506",
            "fax_number": "219-884-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5587 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102632",
            "telephone_number": "219-887-9506",
            "fax_number": "219-884-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01020975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100353200A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000081973",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert A. Martin, PH.D.
• Brianna M Martin
• Bryan Martin, BA
• Joshua Martin
• Abel Martinez, BA
• Thomas Marxer, DDS
• Courtney Mason
• Krista Massa, RPH
• Michele D Massow, FNP
• Kelsie Mastey

• Specialist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.