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NPI Code Detail

MEDICARE: WILLIAM R MARTIN MD

MEDICARE: WILLIAM R MARTIN MD
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
1207X00000XOrthopaedic Surgery Physician34442KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200035230OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000052291OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4K005560OTHERKYTRICARE

General Provider Information

NPI Number : 1548263320
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM R MARTIN MD
Provider Business Mailing Address
First Line : 2780 FREDERICA ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-5442
Country : US
Telephone Number : 270-926-4100
Fax Number :
Provider Business Practice Location Address
First Line : 2780 FREDERICA ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-5442
Country : US
Telephone Number : 270-926-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/14/2024

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