Individual
MR. THOMAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
2000 JOSEPH E. SANKER BOULEVARD, CINCINNATI, OH 45212
(513) 204-5696
(877) 284-4283
Mailing address
4549 RAYNOR COURT, MASON, OH 45040
(513) 204-5696
(877) 284-4283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117984
OH
207L00000X
Anesthesiology Physician
NA029000
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
029000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273426
ANTHEM
—
05
—
0763115
—
OH
05
—
200424830
—
IN
01
—
617585
WELLCARE
KY
01
—
728028
BUCKEYE
—
05
—
74003724
—
KY
Enumeration date
06/07/2006
Last updated
02/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us