Charles R.Martin,M.D.P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5187 Issued in NC

Legal business name

CHARLES R.MARTIN,M.D.P.A.

Practice address

2 Dewitt Street
Jacksonville, NC 28540-5649

Phone

(910) 938-2220

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Patty Parker

Title

Office Manager

Phone

(910) 938-2220

Specialties & licenses 1

Addresses

Tax ID family

Charles Rmartinmdpa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martin's Pediatrics and Family Care

  • Pediatrics Physician
  • Jacksonville, NC
  • NPI 1265584767
  NPD tax ID

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1891826160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEWITT ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405649",
            "telephone_number": "910-938-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEWITT STREET",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405649",
            "telephone_number": "910-938-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R.MARTIN,M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-938-2220"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "5187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Chaney
• Jennifer Linda Channel, LMBT
• Pepper Chapman
• Genette Chappell
• Charles a Deigert DDS
• Krystina Charlesworth
• Abigail Ruth Chavez
• Berta Chavez, LCSW
• Kyra Bella Chavira, RBT
• Amanda Chavis-Legerton, MAED, LPC

• Specialist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.