Martin Pediatric Clinic PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARTIN PEDIATRIC CLINIC PLLC

Practice address

312 S McCaskey Rd
Williamston, NC 27892-2150

Phone

(252) 792-4410

Fax

(252) 792-7287

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carl Thomas Dover II, MD

Title

Physician

Phone

(252) 792-4410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1922552892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "address_2": "312 SOUTH MCCASKEY RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278920845",
            "telephone_number": "252-792-4410",
            "fax_number": "252-792-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S MCCASKEY RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922150",
            "telephone_number": "252-792-4410",
            "fax_number": "252-792-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PEDIATRIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-792-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin County Residential Services Inc.
• Martin County Schools
• Martin Emergency Group LLC
• Martin General Emergency Physicians
• Martin Hospitalists Inc
• Martin-Tyrrell-Washingotn District Health Department
• Mary Dellas Loving Heart,LLC
• Mast Drug Co Inc
• Mast Drug Co Inc
• Mast Drug Co Inc

• Pediatrics Physician in Williamston, NC
• Providers in Williamston, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.