Elizabeth S. Martin, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

21915 Issued in AL

Practice address

5346 Stadium Trace Pkwy
Suite 100
Hoover, AL 35244-4582

Phone

(205) 682-8022

Fax

(205) 682-9446

NPI assigned

Oct 3, 2006

Last updated

Aug 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

East Tennessee State University Quillen College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Dermatology and Aesthetics, PCGroup PAC ID 5092966747, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.3 of 100Reported as group

Quality

98.6

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pure Dermatology & Aesthetics, PC

  • Dermatology Physician
  • Hoover, AL
  • NPI 1104176700
  Medicare reassignment Care Compare group NPD Authorized official
• Southeastern Dermatology Centers

  • Specialist
  • Birmingham, AL
  • NPI 1194789172
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1942394689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 STADIUM TRACE PKWY",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444582",
            "telephone_number": "205-682-8022",
            "fax_number": "205-682-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 STADIUM TRACE PKWY",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444582",
            "telephone_number": "205-682-8022",
            "fax_number": "205-682-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "21915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009960680",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Gavin Markham, R.D.
• Danielle Mars
• Elizabeth Anne Marshall, RBT
• James H Marshall, M.D.
• Taylor Marshall
• Janice E Martin, EDD, LPC
• Mary Catherine Martin, R.PH.
• Meagan Martin, LPTA
• Thomas Wade Martin, MD
• Tamara Ann Mason, MD

• Dermatology Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.