Active NPI
Aimee Joy Martin, MD
- Family Medicine Physician
- Bradenton, FL
National Provider Identifier
1912028101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME98437
- Practice address
- 2215 53Rd Ave W
Bradenton, FL 34207-2360 - Phone
- (561) 889-6320
- Fax
- (941) 753-2800
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME98437 | FL | Primary |
Addresses
Primary practice location
2215 53Rd Ave W
Bradenton, FL 34207-2360
Mailing address
2215 53Rd Ave W
Bradenton, FL 34207-2360
Phone (561) 889-6320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000812900 | Medicaid | FL | |
| AI0522 | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Physician Corporation Inc | Past | Accepting new patients | |
| Martin Memorial Medical Center Inc | Past | Accepting new patients | |
| Coastal Care Corporation | Past | Accepting new patients |
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.
-
dba Cleveland Clinic Imaging
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Stuart, FL
- NPI 1366469975
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- Urgent Care Clinic/Center
- Stuart, FL
- NPI 1154962918
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1578505228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1912028101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 53RD AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342072360",
"telephone_number": "561-889-6320",
"fax_number": "941-753-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 53RD AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342072360",
"telephone_number": "561-889-6320",
"fax_number": "941-753-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "AIMEE",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME98437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000812900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AI0522",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.