Healthcare Provider Details

I. General information

NPI: 1598853939
Provider Name (Legal Business Name): JOHN STUART MARTIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 E CAMELBACK RD STE 105
SCOTTSDALE AZ
85251-1240
US

IV. Provider business mailing address

7150 E CAMELBACK RD STE 105
SCOTTSDALE AZ
85251-1240
US

V. Phone/Fax

Practice location:
  • Phone: 888-405-6396
  • Fax: 415-252-7176
Mailing address:
  • Phone: 888-405-6396
  • Fax: 415-252-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number32483
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number28549
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2010-00652
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: