Organization Active NPI

Harvey C Martin MD PA

  • Psychiatry Physician
  • Wichita Falls, TX
National Provider Identifier
1902105935
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F2789 Issued in TX
Legal business name
HARVEY C MARTIN MD PA
Practice address
1808 Rose St
Wichita Falls, TX 76301-4219
Phone
(940) 723-4488
Fax
(940) 723-0446
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Harvey C Martin, MD
Title
Owner
Phone
(940) 723-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X F2789 TX Primary

Addresses

Primary practice location

1808 Rose St
Wichita Falls, TX 76301-4219

Mailing address

1808 Rose St
Wichita Falls, TX 76301-4219
Phone (940) 723-4488

Other identifiers 3

IdentifierTypeStateIssuer
100752480AMedicaidOK
283101801MedicaidTX
8DC909OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1819 8th St
Wichita Falls, TX 76301
Phone (940) 322-9456

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1902105935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-723-4488",
            "fax_number": "940-723-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-723-4488",
            "fax_number": "940-723-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY C MARTIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-723-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F2789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100752480A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283101801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DC909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.