Healthcare Provider Details

I. General information

NPI: 1619505500
Provider Name (Legal Business Name): JAMES MARTINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR DEPT OF
BALTIMORE MD
21237-3901
US

IV. Provider business mailing address

620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH VA
23708-2197
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-2000
  • Fax: 443-777-8489
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0103577
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: