MARTIN FAMILY PRACTICE PC NPI 1902091143

NPI Information

  • NPI: 1902091143
  • Provider Name: MARTIN FAMILY PRACTICE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 15D1074751
  • Address: 4405 BELLEMEADE AVE
    STE 102
    EVANSVILLE, IN
    ZIP 47714
  • Phone: (812) 437-5554

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NPI Details

MARTIN FAMILY PRACTICE PC is a family medicine in Evansville, IN. 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. MARTIN FAMILY PRACTICE PC NPI is 1902091143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4405 BELLEMEADE AVE
STE 102
EVANSVILLE, IN
ZIP 47714-682
Phone: (812) 437-5554
Fax: (812) 437-5577

The provider's authorized official is Mark A Martin .
The authorized official title is Physician and has the following contact phone number (812) 437-5554.

The CLIA number assigned to this NPI record is 15D1074751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 10/8/2013.

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 Medicine02002206AINDIANAYes

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
1H33744MEDICARE UPININDIANA
2200355030BMEDICAIDINDIANA
3253060MEDICARE PININDIANA

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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