NPI Information

  • NPI: 1063587269
  • Provider Name: DERLIS MARTINO MD PA
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Address: 9601 LILE DR
    SUITE 650
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 223-2860

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NPI Details

DERLIS MARTINO MD PA is a thoracic surgery cardiothoracic vascular surgery in Little Rock, AR. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DERLIS MARTINO MD PA NPI is 1063587269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9601 LILE DR
SUITE 650
LITTLE ROCK, AR
ZIP 72205-321
Phone: (501) 223-2860
Fax: (501) 223-2258

The provider's authorized official is Derlis Martino .
The authorized official title is President and has the following contact phone number (501) 223-2860.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 10/9/2007.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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: 11/21/2025

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