PROF. WAYNE ROBERT MARTIN MD NPI 1104867621

NPI Information

  • NPI: 1104867621
  • Provider Name: PROF. WAYNE ROBERT MARTIN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1606 N PANORAMA WAY
    COCHISE, AZ
    ZIP 85606
  • Phone: (701) 880-0826

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NPI Details

PROF. Wayne Robert Martin, MD is a family medicine in Cochise, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROF. Wayne Robert Martin, MD NPI is 1104867621. 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:

1606 N PANORAMA WAY
COCHISE, AZ
ZIP 85606-685
Phone: (701) 880-0826

The enumeration date for this NPI number is 6/8/2006 and was last updated on 10/31/2023.

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
1207Q00000XFamily Medicine42227ARIZONANo
2207Q00000XFamily Medicine7466MONTANAYes

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
18V4761OTHERTEXASBCBS

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

NPI Synchronization or Removal

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