Healthcare Provider Details

I. General information

NPI: 1568664589
Provider Name (Legal Business Name): ABIGAIL E. MARTIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE
LEXINGTON KY
40536-3607
US

IV. Provider business mailing address

800 ROSE ST # MS 0465
LEXINGTON KY
40536-0191
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-2522
  • Fax: 859-323-3918
Mailing address:
  • Phone: 859-323-5625
  • Fax: 302-651-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number2009-01485
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberC100010447
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number57710
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number25MA07434600
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME126220
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number25MA07434600
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberMD12370
License Number StateRI
# 8
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2009-01485
License Number StateNC
# 9
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberMD448939
License Number StatePA
# 10
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberME126220
License Number StateFL
# 11
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberTP357
License Number StateKY
# 12
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number14094
License Number StateWI
# 13
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number2009-01485
License Number StateNC
# 14
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberME126220
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: