MEDICARE: THOMAS CHARLES 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	2080P0202X	Pediatric Cardiology Physician	017607	ME
2	261QM2800X	Methadone Clinic	MD17607	ME
3	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	MD17607	ME

General Provider Information

NPI Number	:	1356520647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS CHARLES MARTIN M.D.

Provider Business Mailing Address
First Line	:	40 AIRPORT RD
Second Line	:
City	:	WATERVILLE
State	:	ME
Zip	:	04901-4524
Country	:	US
Telephone Number	:	207-742-8381
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 AIRPORT RD
Second Line	:
City	:	WATERVILLE
State	:	ME
Zip	:	04901-4524
Country	:	US
Telephone Number	:	207-742-8381
Fax Number	:

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

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	01/02/2023

Similar Medicare Providers

1669315552 — CYNTHIA ROBBINS
Practice Location Address:

40 AIRPORT RD
WATERVILLE, ME
04901-4524

Practice Phone: 207-872-7272
Practice Fax:

1639109366 — INTEGRATED MEDICAL ASSOCIATES, LLC
Practice Location Address:

40 AIRPORT RD , SUITE 2
WATERVILLE, ME
04901-4524

Practice Phone: 207-680-2070
Practice Fax: 207-680-2074

1528092491 — JOHN HAWKINS IRWIN III D.O.
Practice Location Address:

40 AIRPORT RD , SUITE 2
WATERVILLE, ME
04901-4524

Practice Phone: 207-680-2070
Practice Fax: 207-680-2074

1073709713 — CHRISTIE L HESSELTINE LADC
Practice Location Address:

40 AIRPORT RD
WATERVILLE, ME
04901-4524

Practice Phone: 207-872-7272
Practice Fax:

1134584733 — LEA J WYGANT LPN
Practice Location Address:

40 AIRPORT RD
WATERVILLE, ME
04901-4524

Practice Phone: 207-742-8381
Practice Fax:

1124481114 — MR. JAMES WESLEY UPTON CADC
Practice Location Address:

40 AIRPORT RD
WATERVILLE, ME
04901-4524

Practice Phone: 207-872-7272
Practice Fax: 78-720-6392

Directions to “ THOMAS CHARLES MARTIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.