Jeffrey E Martin MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFFREY E MARTIN MD

Practice address

744 Roosevelt TRL
Windham, ME 04062-5282

Phone

(207) 892-7055

Fax

(207) 893-1215

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey E Martin, MDNPI 1740352988

Title

Owner and Provider

Phone

(207) 892-7055

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey E Martin, MD

  • General Practice Physician
  • Kennebunk, ME
  • NPI 1740352988
  NPD (past) Authorized official
• Michelle True, FNP-C

  • Family Nurse Practitioner
  • South Portland, ME
  • NPI 1699746628
  NPD (past)
• Nancy Lynne Wright, FNP

  • Family Nurse Practitioner
  • Portland, ME
  • NPI 1205934882
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211760000000",
    "number": "1861543696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCAMMAN ST SUITE 19",
            "address_2": "PMB 2700",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-892-7055",
            "fax_number": "207-893-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625282",
            "telephone_number": "207-892-7055",
            "fax_number": "207-893-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E MARTIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-05-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-892-7055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116530000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M746",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Maxwell Ives, MSW,LCSW
• Jackson Surgical Assisting Services LLC.
• Michael James Jackson, RNFA
• Warren Jackson, OD
• Patricia Jacobsen Kaczmarek, LMT
• Ashly D Jewell, FNP
• Colleen Jillson, LCSW, LADC, CCS
• Kayley Ann Johnson
• Paul J Johnson, PHARM D
• Journey Therapeutic Solutions LLC

• Family Medicine Physician in Windham, ME
• Providers in Windham, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; 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.