Martin Surgical Associates Llc

LBN: Martin Surgical Associates Llc
Martin Surgical Associates Llc is an health care organization with primary practice located at 8940 Kingsridge Drive Suite 105, Dayton OH 45458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Martin Surgical Associates Llc can be contacted via phone (937) 439-4178, or through Martin, Derrick J via phone (937) 439-4178.

Contact Information

Primary practice address
8940 Kingsridge Drive Suite 105 Dayton OH 45458
Phone: (937) 439-4178
Fax: (937) 439-4740
Website:
Map and Directions
Authorized official contact:
Name: Martin, Derrick J Doctor of Medicine (MD)
Phone: (937) 439-4178

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1104897008
LBN Legal business name Martin Surgical Associates Llc
DBA Doing business as
Authorized official Martin, Derrick J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated Nov 27th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104897008 NPPES
Ohio Other D60556 CHOICECARE
Ohio Other 000000189411 CHOICECARE
Ohio MEDICAID 0803330 CHOICECARE

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