MEDICARE: PAUL MARTIN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	34002480	OH
2	207Q00000X	Family Medicine Physician	34002480	OH

General Provider Information

NPI Number	:	1043273303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MARTIN DO

Provider Business Mailing Address
First Line	:	7585 HUNTERS HOLLOW TRL
Second Line	:
City	:	NOVELTY
State	:	OH
Zip	:	44072-9541
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 E ROYALTON RD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2811
Country	:	US
Telephone Number	:	440-717-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	09/11/2025

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Directions to “ PAUL MARTIN DO” Practice Location

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