DR. GERALD MIKEL MARTIN D.O. NPI 1760570840

NPI Information

NPI: 1760570840
Provider Name: DR. GERALD MIKEL MARTIN, D.O.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
350 S 40TH ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 683-0753
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DR. Gerald Mikel Martin, D.O. is an adult medicine family medicine in Muskogee, OK. The provider is definition to come. DR. Gerald Mikel Martin, D.O. NPI is 1760570840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 S 40TH ST
MUSKOGEE, OK
ZIP 74401-915
Phone: (918) 683-0753
Fax: (918) 687-5251

The enumeration date for this NPI number is 10/11/2006 and was last updated on 11/12/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	1990	OKLAHOMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100255710A	MEDICAID	OKLAHOMA
2	246713403	MEDICARE PIN	OKLAHOMA

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

NPI Synchronization or Removal

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