Male or Other

David R. Martin MD

Diagnostic Radiology Physician in Walton, IN(View on Map)

Full Name

David R Martin MD

NPI Number

1043247422

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/28/2006

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01049134

Contact
Information

Purpose

Mailing
Location

Address

6106 S COUNTY ROAD 800 E
6106 S COUNTY ROAD 800 E

City

Walton
Walton

State

IN
IN

Postal Code

46994-8999
46994-8999

Country

US
US

Telephone Number

(574) 721-7898
(574) 721-7898

Identifiers

Identifier

CF3161
7100960230
200180130
30028292

Identifier State

IN
KY
IN
IN

Identifier Issuer

RAILROAD MEDICARE
Unknown
Unknown
Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

dmartin20@direct.iuhealth.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1201 Michigan Ave., #390Logansport, IN46947US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/23/2024

Provider Address