Tara Kay Martin, MD
Emergency Medicine in Renton, WA. Individual provider (NPI-1).
NPI number1104054543
StatusActive
Last updated in NPPESJun 3, 2013
Details
- NPI
- 1104054543
- Entity type
- Individual (NPI-1)
- Name
- Tara Kay Martin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2009
- Last updated
- Jun 3, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD60361936 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
400 S 43rd StRenton, WA 98055-5714
Phone 425-228-3440
Mailing address
25246 Network PlChicago, IL 60673-1252
Phone 425-656-4255
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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