DR. CLIFFORD GLENN MARTIN M.D. NPI 1457314056

NPI Information

NPI: 1457314056
Provider Name: DR. CLIFFORD GLENN MARTIN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2 SAINT ANTHONYS WAY
ALTON, IL
ZIP 62002
Phone: (618) 462-2222
Get Directions

DR. Clifford Glenn Martin, M.D. is an obstetrics gynecology in Alton, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Clifford Glenn Martin, M.D. NPI is 1457314056. 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:

2 SAINT ANTHONYS WAY
ALTON, IL
ZIP 62002-569
Phone: (618) 462-2222

The NPI 1457314056 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 4/6/2006 and was last updated on 4/29/2016.

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	207V00000X	Obstetrics & Gynecology		30961-020	WISCONSIN	No
2	207V00000X	Obstetrics & Gynecology		01072884A	INDIANA	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
1	A12888	MEDICARE UPIN	WISCONSIN
2	201311140	MEDICAID	INDIANA
3	IN1933021	MEDICARE PIN	INDIANA

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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