Healthcare Provider Details

I. General information

NPI: 1720493547
Provider Name (Legal Business Name): JOSHUA B MARTIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 MERCY HEALTH BLVD STE 100
CINCINNATI OH
45211
US

IV. Provider business mailing address

148 W NORTH ST
SPRINGFIELD OH
45504-2547
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-2273
  • Fax:
Mailing address:
  • Phone: 937-323-5001
  • Fax: 937-684-9991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35.136430
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: