Randall Val Martin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E6494 Issued in TX

Practice address

18059 Highway 105 W Ste 130
Montgomery, TX 77356-5000

Phone

(936) 582-5642

Fax

(936) 582-5643

NPI assigned

Oct 10, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: rmartin112595@direct.stlukeshealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sadler Clinic Association

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1114979127
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1942397849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 I 45 N",
            "address_2": "STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042185",
            "telephone_number": "936-582-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18059 HIGHWAY 105 W STE 130",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565000",
            "telephone_number": "936-582-5642",
            "fax_number": "936-582-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RANDALL",
        "middle_name": "VAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125772703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Judith Maddox, RPH
• Sheela Malott, LMFT ASSOCIATE
• Melissa Elaine Manning, RN
• Mark E. Nichols MD PA
• Maria Mapa Martin, APRN
• Deborah Mason
• Dionne Ladonna Massiah, NP
• Halden P Maynard, DC
• Angela M McAfee, CRNA
• Denise E McCaleb, PHARMACIST

• Family Medicine Physician in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.