MEDICARE: DR. FERDINAND C MARTINEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD0431880	PA
2	208600000X	Surgery Physician	26059	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26059	OTHER	WV	WV BOARD OF MEDICINE
2	MD431880	OTHER	PA	MD431880

General Provider Information

NPI Number	:	1194911107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERDINAND C MARTINEZ M.D.

Provider Business Mailing Address
First Line	:	3000 MON HEALTH MEDICAL PARK DR STE 3201
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1170
Country	:	US
Telephone Number	:	304-285-1460
Fax Number	:	304-285-2739

Provider Business Practice Location Address
First Line	:	3000 MON HEALTH MEDICAL PARK DR STE 3201
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1170
Country	:	US
Telephone Number	:	304-285-1460
Fax Number	:	304-285-2739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	09/24/2020

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Directions to “ DR. FERDINAND C MARTINEZ M.D.” Practice Location

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