# JAMES L. MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598763823
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD-064255-L | PA | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | MD-064255-L | PA | — |
| 207QA0505X | Adult Medicine Physician | MD-064255-L | PA | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | MD-064255-L | PA | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | MD-064255-L | PA | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | MD-064255-L | PA | — |

## Other

- **Enumeration date:** 07/11/2005
- **Last updated:** 11/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000462277 | INDEPENDENCE BLUECROSS | PA |
| 01 | — | 02995501 | CAPITAL BLUECROSS | PA |
| 01 | — | 080187099 | RAILROAD MEDICARE | PA |
| 01 | — | MA462277 | HIGHMARK BLUESHIELD | PA |