MEDICARE: MARTHA J SHORT 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	207R00000X	Internal Medicine Physician	4301054632	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110E26038	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811991250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA J SHORT M.D.

Provider Business Mailing Address
First Line	:	223 SANDSTONE DR
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-5200
Country	:	US
Telephone Number	:	906-228-3255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 W FAIR AVE
Second Line	:	STE 201
City	:	MARQUETTE
State	:	MI
Zip	:	49855-5406
Country	:	US
Telephone Number	:	906-225-4500
Fax Number	:	906-225-3919

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346192770 — EMILY RENEE KLEIKAMP MS, LPC
Practice Location Address:

1414 W FAIR AVE STE 249
MARQUETTE, MI
49855-5406

Practice Phone: 906-449-2900
Practice Fax:

1821090994 — JOHN P BARTLETT M.D.
Practice Location Address:

1414 W FAIR AVE , STE 201
MARQUETTE, MI
49855-5406

Practice Phone: 906-225-4500
Practice Fax: 906-225-3919

1467456400 — FRED L GROOS MD
Practice Location Address:

1414 W FAIR AVE STE 242
MARQUETTE, MI
49855-5406

Practice Phone: 906-449-2900
Practice Fax: 906-449-2975

1447254883 — LESLIE A. ROBB M.D.
Practice Location Address:

1414 W FAIR AVE , STE 201
MARQUETTE, MI
49855-5406

Practice Phone: 906-225-4500
Practice Fax: 906-225-3919

1174527519 — ISLAM K QUASEM M.D.
Practice Location Address:

1414 W FAIR AVE , STE 201
MARQUETTE, MI
49855-5406

Practice Phone: 906-225-4500
Practice Fax: 906-225-3919

1083618425 — MELISSA A BROEDERS P.A.-C
Practice Location Address:

1414 W FAIR AVE , STE 201
MARQUETTE, MI
49855-5406

Practice Phone: 906-225-4500
Practice Fax: 906-225-3919

Directions to “ MARTHA J SHORT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.