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NIELS DOUGLAS MARTIN MD NPI 1013073477


NPI Information

NPI: 1013073477
Provider Name: NIELS DOUGLAS MARTIN, MD
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

Organization: UNIVERSITY OF PENN MEDICAL GROUP

PECOS Registration: Yes

Address:
51 N 39TH ST
MEDICAL OFFICE BUILDING, 1ST FLOOR, SUITE 120
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-7320
Get Directions

Niels Douglas Martin, MD is a trauma surgery surgery in Philadelphia, PA with 24 years of experience. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. Niels Douglas Martin, MD NPI is 1013073477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:2000

The provider's business location address is:

51 N 39TH ST
MEDICAL OFFICE BUILDING, 1ST FLOOR, SUITE 120
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-7320
Fax: (215) 243-4605

The NPI 1013073477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 11/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD420992PENNSYLVANIANo
22086S0102XSurgerySurgical Critical CareMD420992PENNSYLVANIANo
32086S0127XSurgeryTrauma SurgeryMD420992PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10125024MEDICAIDNEW JERSEY
21018343780005MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.