Individual provider Active NPI

Richard Edwin Marting, M.D.

  • Contractor
  • Savannah, GA
National Provider Identifier
1962632729
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
062063 Issued in GA
Practice address
103 Wiley Bottom Rd
Savannah, GA 31411-1538
Phone
(912) 598-8970
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 062063 GA Primary

Addresses

Primary practice location

103 Wiley Bottom Rd
Savannah, GA 31411-1538

Mailing address

103 Wiley Bottom Rd
Savannah, GA 31411-1538
Phone (912) 598-8970

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
062063GAMDContractor
29056FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1962632729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WILEY BOTTOM RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111538",
            "telephone_number": "912-598-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WILEY BOTTOM RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111538",
            "telephone_number": "912-598-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTING",
        "first_name": "RICHARD",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "062063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.