Healthcare Provider Details

I. General information

NPI: 1518882919
Provider Name (Legal Business Name): PAUL-MICHAEL MARTIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 BEECHMONT AVE
CINCINNATI OH
45255-4102
US

IV. Provider business mailing address

7410 BEECHMONT AVE
CINCINNATI OH
45255-4102
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-4591
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0042798
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: