Individual
MARTIN E MENOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 E STATE ST, ATHENS, OH 45701-2138
(855) 446-5937
(740) 589-3127
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 589-3140
(844) 261-1517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35071013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317282
ANTHEM
—
05
—
2029129
—
OH
01
—
510450201029
CARESOURCE
—
01
—
P00060990
RAILROAD MEDICARE
—
Enumeration date
12/20/2005
Last updated
04/21/2025
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