Martin M. Klos, MD

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

MD18059 Issued in OR

Practice address

3831 Main St
Suite 108
Springfield, OR 97478-5801

Phone

(541) 746-4468

Fax

(541) 746-4562

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1861559627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 MAIN STREET",
            "address_2": "SUITE 108",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974785801",
            "telephone_number": "541-746-4468",
            "fax_number": "541-746-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 MAIN ST",
            "address_2": "SUITE 108",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974785801",
            "telephone_number": "541-746-4468",
            "fax_number": "541-746-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOS",
        "first_name": "MARTIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD18059",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "OR",
            "license": "MD18059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Joseph Kintz, M.D.
• Shawn Thomas Kirby
• Aleda Kirstein
• Lauren Kitzel, OTD OTR/L
• Vanessa Rae Kizzier-Carnahan, DO
• Kevin Joesph Klott
• Gregory L Knecht, MD
• Katelyn Knoebel, LMT
• Carol Anne Knoles
• Joshua Ryan Knotts

• Addiction Medicine (Anesthesiology) Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Addiction Medicine (Anesthesiology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.