Active NPI
Michael Warren Martin, PBT (ASCP)
- Public Health & General Preventive Medicine Physician
- Anchorage, AK
National Provider Identifier
1962600288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 434438
- Practice address
- 4412 Ames Ave
Anchorage, AK 99508-1702 - Phone
- (907) 952-3117
- Fax
- (800) 660-0768
- NPI assigned
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 434438 | AK | Primary |
Addresses
Primary practice location
4412 Ames Ave
Anchorage, AK 99508-1702
Mailing address
PO Box 141642
Anchorage, AK 99514-1642
Phone (907) 952-3117
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434438 | AK | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962600288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141642",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995141642",
"telephone_number": "907-952-3117",
"fax_number": "800-660-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 AMES AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995081702",
"telephone_number": "907-952-3117",
"fax_number": "800-660-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MICHAEL",
"middle_name": "WARREN",
"credential": "PBT (ASCP)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "AK",
"license": "434438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.