Martin MD
Family Medicine in Prosser, WA. Organization (NPI-2).
NPI number1508201062
StatusActive
Last updated in NPPESMay 9, 2013
Details
- NPI
- 1508201062
- Entity type
- Organization (NPI-2)
- Legal business name
- Martin MD
- Organization subpart
- No
- Enumeration date
- May 9, 2013
- Last updated
- May 9, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00048680 | WA | Yes |
Practice location
1309 Scenic DrProsser, WA 99350-1237
Phone 509-303-9570
Mailing address
1309 Scenic DrProsser, WA 99350-1237
Phone 509-303-9570
Authorized official
Walburga S Martin
Owner
5093039570
Is something wrong?
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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