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MARTIN EAR NOSE & THROAT CLINIC NPI 1730469693


NPI Information

NPI: 1730469693
Provider Name: MARTIN EAR NOSE & THROAT CLINIC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
37 DOCTORS PARK
SUITE 1
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 332-7000
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MARTIN EAR NOSE & THROAT CLINIC is an otolaryngology/facial plastic surgery otolaryngology in Cape Girardeau, MO. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. MARTIN EAR NOSE & THROAT CLINIC NPI is 1730469693. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

37 DOCTORS PARK
SUITE 1
CAPE GIRARDEAU, MO
ZIP 63703-956
Phone: (573) 332-7000
Fax: (573) 332-7005

The provider's authorized official is Richard A Martin .
The authorized official title is Owner Physician and has the following contact phone number (573) 335-6163.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 10/11/2011.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryR8494MISSOURIYes

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
1200764918MEDICAIDMISSOURI
2A13619MEDICARE UPIN
3001011004MEDICARE PIN

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

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