Healthcare Provider Details

I. General information

NPI: 1760799431
Provider Name (Legal Business Name): JOSEPH ALVIN MARTIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8740 E MARKET ST STE 2
WARREN OH
44484-2324
US

IV. Provider business mailing address

100 DEBARTOLO PL STE 200
YOUNGSTOWN OH
44512-6095
US

V. Phone/Fax

Practice location:
  • Phone: 234-335-0200
  • Fax: 330-965-5090
Mailing address:
  • Phone: 330-729-8146
  • Fax: 330-965-5229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.123710
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: