Individual provider Active NPI

James Paul Martin, MD MPH

  • Occupational Medicine Physician
  • Fort Atkinson, WI
National Provider Identifier
1881754992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
37825020 Issued in WI
Practice address
520 Handeyside Lane
Suite 3
Fort Atkinson, WI 53558
Phone
(920) 568-5018
Fax
(920) 568-5018
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 37825020 WI Primary

Addresses

Primary practice location

520 Handeyside Lane
Suite 3
Fort Atkinson, WI 53558

Mailing address

520 Handeyside Lane
Suite 3
Fort Atkinson, WI 53558
Phone (920) 568-5018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109001143 WI Practitioner - Preventive Medicine 9234449992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37825020WIMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare Inc CurrentSince Apr 16, 2024 Accepting new patients
Fort Healthcare Inc CurrentSince Apr 16, 2024 Accepting new patients
Fort Healthcare, Inc. Current Accepting new patients

Locations

520 Handeyside Ln
Ste 3
Fort Atkinson, WI 53538
Phone (920) 568-5018

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: james.martin@direct.forthc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881754992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HANDEYSIDE LANE",
            "address_2": "SUITE 3",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "53558",
            "telephone_number": "920-568-5018",
            "fax_number": "920-568-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HANDEYSIDE LANE",
            "address_2": "SUITE 3",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "53558",
            "telephone_number": "920-568-5018",
            "fax_number": "920-568-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WI",
            "license": "37825020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.