MEDICARE: DR. LINDA A MARTIN M.D.

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	207X00000X	Orthopaedic Surgery Physician	42073	CT
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	231590	NY
3	207X00000X	Orthopaedic Surgery Physician	04-44964	KS

General Provider Information

NPI Number	:	1336129964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA A MARTIN M.D.

Provider Business Mailing Address
First Line	:	312 9TH ST SW
Second Line	:
City	:	WAVERLY
State	:	IA
Zip	:	50677-2929
Country	:	US
Telephone Number	:	319-483-1440
Fax Number	:	319-483-1442

Provider Business Practice Location Address
First Line	:	311 E SPRUCE ST
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-5614
Country	:	US
Telephone Number	:	620-275-3030
Fax Number	:	620-275-3025

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	08/26/2024

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