Active NPI
James R Martin, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 063638
- Practice address
- 11900 E 12 Mile Rd
Suite 205
Warren, MI 48093-3400 - Phone
- (586) 576-4907
- Fax
- (576) 576-4906
- NPI assigned
- Oct 17, 2005
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 063638 | MI | Primary |
Addresses
Primary practice location
11900 E 12 Mile Rd
Suite 205
Warren, MI 48093-3400
Mailing address
11900 E 12 Mile Rd
Suite 205
Warren, MI 48093-3400
Phone (586) 576-4907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Vermont College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1117 Stone St
Suite 1
Port Huron, MI 48060-3525
Phone (810) 488-8480
1163 S Carney Dr
Saint Clair, MI 48079-5569
Phone (810) 561-8450
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 985-2663
22201 Moross Rd
Suite 356
Detroit, MI 48236-2176
Phone (313) 343-7444
416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000
Hospital & facility affiliations
- McLaren Port Huron
- McLaren Northern Michigan
- Henry Ford Health St John Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063638 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Lapeer Region | Current | Accepting new patients | |
| McLaren Greater Lansing | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| McLaren Greater Lansing | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| McLaren Lapeer Region | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| McLaren Port Huron | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| McLaren Macomb | Current | Accepting new patients | |
| McLaren Port Huron | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| McLaren Bay Region | Vascular Surgery | Current | Accepting new patients |
| Center for Cardiovascular & Thoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| McLaren Lapeer Region | Current | Accepting new patients | |
| McLaren Greater Lansing | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| St Clair Cardiovascular Surgeons PLC | Past | Accepting new patients | |
| St. Clair Cardiovascular Surgeons, PLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
22201 Moross Rd
Ste 356
Grosse Pointe, MI 48236
Phone (313) 343-7444
405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
1200 Barry Dr
Lapeer, MI 48446
Phone (810) 664-4532
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
560 W Mitchell St
Ste 560
Petoskey, MI 49770
Phone (231) 487-2150
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1117 Stone St
Ste 1
Port Huron, MI 48060
Phone (810) 488-8480
1201 Stone St
Ste 6
Port Huron, MI 48060
Phone (810) 985-6227
1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450
37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050
30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848
11900 E 12 Mile Rd
Ste 205
Warren, MI 48093
Phone (586) 576-4907
Interoperability endpoints
- james.martin.1@28645.direct.athenahealth.com
Organizations & group practices 26
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.
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Psychiatry Physician
- Port Huron, MI
- NPI 1386888170
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Detroit, MI
- NPI 1811644396
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Family Medicine Physician
- Warren, MI
- NPI 1942317631
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Gynecologic Oncology Physician
- Lansing, MI
- NPI 1265600902
-
- Certified Registered Nurse Anesthetist
- Lapeer, MI
- NPI 1124151147
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
-
- General Practice Physician
- Flint, MI
- NPI 1275807372
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1972592541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 E 12 MILE RD",
"address_2": "SUITE 205",
"city": "WARREN",
"state": "MI",
"postal_code": "480933400",
"telephone_number": "586-576-4907",
"fax_number": "576-576-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 E 12 MILE RD",
"address_2": "SUITE 205",
"city": "WARREN",
"state": "MI",
"postal_code": "480933400",
"telephone_number": "586-576-4907",
"fax_number": "576-576-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "063638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.