Martin Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02002206A Issued in IN

Legal business name

MARTIN FAMILY PRACTICE PC

Practice address

4405 Bellemeade Ave
Ste 102
Evansville, IN 47714-0682

Phone

(812) 437-5554

Fax

(812) 437-5577

NPI assigned

Sep 11, 2007

Last updated

Oct 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark A Martin, D.O.NPI 1295707859

Title

Physician

Phone

(812) 437-5554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Mark A Martin, DO

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1295707859
  Authorized official Same address or phone
• Ralph D Millsaps, MD

  • Cardiovascular Disease Physician
  • Murray, KY
  • NPI 1942208517
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1902091143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140682",
            "telephone_number": "812-437-5554",
            "fax_number": "812-437-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 BELLEMEADE AVE",
            "address_2": "STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140682",
            "telephone_number": "812-437-5554",
            "fax_number": "812-437-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-437-5554",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002206A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200355030B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marshall, RD
• Candace O Marshall, LCSW
• Gregory Marshall, FNP-C
• Eric Sebastian Marsili, D.C.
• Martha Ann Brandt, Inc
• Alisha Renee Martin, OTR/L
• Andrew Martin, LCSW
• Angela Hope Martin, M.D.
• Brynne Marie Martin, OT
• Charles Robert Martin, LMFT LMHC NCC

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.