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NPI Code Detail

MEDICARE: DR. PETER MATHEW MARTIN D.O.

MEDICARE:  DR. PETER MATHEW MARTIN  D.O.
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
1207Q00000XFamily Medicine Physician34-00-4167OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457398612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER MATHEW MARTIN D.O.
Provider Business Mailing Address
First Line : 5450 FRANTZ RD STE 360
Second Line :
City : DUBLIN
State : OH
Zip : 43016-4141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 REFUGEE RD
Second Line : SUITE 310
City : PICKERINGTON
State : OH
Zip : 43147-9653
Country : US
Telephone Number : 614-788-4333
Fax Number : 614-788-4341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 01/05/2022

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Directions to “ DR. PETER MATHEW MARTIN D.O.” Practice Location

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