MEDICARE: DR. PAUL A 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
1	207Q00000X	Family Medicine Physician	34002694M	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	080191708	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	421534506031	OTHER	OH	CARESOURCE
2	D0269405	OTHER	OH	HUMANA/CHOICECARE
3	000000227892	OTHER	OH	UNICARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	34002694M	OTHER	OH	MEDICAL LICENSE
7	000000227892	OTHER	OH	ANTHEM
8	0120333	OTHER	OH	UNITED HEALTHCARE
9	660537	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1841292018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL A MARTIN D.O.

Provider Business Mailing Address
First Line	:	2912 SPRINGBORO W
Second Line	:	STE 201
City	:	DAYTON
State	:	OH
Zip	:	45439-1674
Country	:	US
Telephone Number	:	937-297-8999
Fax Number	:	937-277-8618

Provider Business Practice Location Address
First Line	:	77 E WOODBURY DR
Second Line	:	SUITE 110
City	:	DAYTON
State	:	OH
Zip	:	45415-2855
Country	:	US
Telephone Number	:	937-277-1722
Fax Number	:	937-277-8618

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/03/2013

Similar Medicare Providers

1174550016 — MS. MARY F SROGA CRNP
Practice Location Address:

77 E WOODBURY DR , SUITE 110
DAYTON, OH
45415-2855

Practice Phone: 937-277-1722
Practice Fax: 937-277-8618

1356365944 — DAYTON EYE ASSOCIATES INC
Practice Location Address:

77 E WOODBURY DR , SUITE 100
DAYTON, OH
45415-2855

Practice Phone: 937-276-2020
Practice Fax: 937-276-0504

1275657728 — DAYTON EYE ASSOCIATES
Practice Location Address:

77 E WOODBURY DR , SUITE 100
DAYTON, OH
45415-2855

Practice Phone: 937-276-2020
Practice Fax: 937-276-2590

1265821664 — MRS. ELENA RAE SOPPE CNP
Practice Location Address:

77 E WOODBURY DR , SUITE 110
DAYTON, OH
45415-2855

Practice Phone: 937-277-1722
Practice Fax: 937-277-8618

1699414904 — ANGELA Q HARRIS-WATKINS
Practice Location Address:

77 E WOODBURY DR
DAYTON, OH
45415-2855

Practice Phone: 317-726-2121
Practice Fax:

1861120040 — GLORIA MALLORY
Practice Location Address:

77 E WOODBURY DR
DAYTON, OH
45415-2855

Practice Phone: 937-371-5724
Practice Fax:

Directions to “ DR. PAUL A MARTIN D.O.” 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.