Physician Compare National (NPI:1760587372)

HEALTHCARE PROVIDER: ERIC MARTIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760587372
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173628328
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090529000095
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTIN
	Individual professional last name
Provider First Name	ERIC
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	537 MURPHY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	MEDFORD
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	975048187
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ASANTE ROGUE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	051316
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FAIRCHILD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	380002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ASANTE THREE RIVERS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	380005
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ASANTE ASHLAND COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	380050
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SKY LAKES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1760587372)

HEALTHCARE PROVIDER: ERIC MARTIN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information