Dr. Tammy L. Martin, M.D.
Emergency Medicine in Ellisville, MO. Individual provider (NPI-1).
NPI number1245250331
StatusActive
Last updated in NPPESOct 11, 2026
Details
- NPI
- 1245250331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tammy L. Martin
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2006
- Certification date
- Oct 11, 2026
- Last updated
- Oct 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | r9h77 | MO | Yes |
| 207R00000X | Internal Medicine | 2025-01414 | NC |
Practice location
233 Clarkson RdEllisville, MO 63011-2219
Phone 636-256-8644
Mailing address
625 S New Ballas RdSaint Louis, MO 63141-8253
Phone 314-993-5454
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