Individual
DR. JEREMIAH THOMAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1711 27TH ST STE 206, PORTSMOUTH, OH 45662-2669
(740) 356-8772
(740) 356-1264
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.127752
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
42469
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208938
—
OH
05
—
7100204410
—
KY
Enumeration date
11/26/2007
Last updated
03/30/2023
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