1942296470 NPI number — DR. WILLIAM JOSEPH MARTIN DPM

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942296470 NPI number — DR. WILLIAM JOSEPH MARTIN DPM

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

MARTIN

Provider First Name:

WILLIAM

Provider Middle Name:

JOSEPH

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

DPM

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1942296470

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

02/07/2014

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 827282

Provider Second Line Business Mailing Address:

TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE

Provider Business Mailing Address City Name:

PHILADELPHIA

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

19182-7282

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

215-238-6600

Provider Business Mailing Address Fax Number:

215-629-0716

Provider First Line Business Practice Location Address:

8TH & RACE ST

Provider Second Line Business Practice Location Address:

TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE

Provider Business Practice Location Address City Name:

PHILADELPHIA

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

19107-2496

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

215-238-6600

Provider Business Practice Location Address Fax Number:

215-629-4905

Provider Enumeration Date:

09/20/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 213E00000X , with the licence number:  SC001619L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 213ES0103X , with the licence number: SC001619L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 213ES0131X , with the licence number: SC001619L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 213EP1101X , with the licence number: SC001619L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 9018 . This is a "ELDER HEALTH / BRAVO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 2307600 . This is a "NJ MEDICAL ASSISTANCE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 435792 . This is a "HEALTH AMERICA HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 999740 . This is a "KEYSTONE HEALTH PLAN PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 1112242 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 2366249 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 28824 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 3Y2561 . This is a "HEALTH NET" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 480029985 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 0005043750005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 231365971 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 368819 . This is a "HMA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: J76417 . This is a "INTER-CITY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 2092599 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 231365971 . This is a "HUMANA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 231365971071 . This is a "TRI-CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 504375 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: P875775 . This is a "OXFORD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 0060559000 . This is a "KEYSTONE HEALTH PLAN HMD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: MA076417 . This is a "BLUE SHIELD OF PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".