Individual
JAMES MITCHELL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5221 US ROUTE 60 EAST, HUNTINGTON, WV 25705
(304) 522-1550
(304) 522-1073
Mailing address
5221 US ROUTE 60 EAST, HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25247
WV
2085R0204X
Vascular & Interventional Radiology Physician
33197
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000627325
ANTHEM
KY
05
—
0072028
—
OH
01
—
0958131
UMWA GROUP NUMBER
—
05
—
1912953092
—
VA
05
—
3810015813
—
WV
05
—
64033244
—
KY
01
—
P00741654
RAILROAD MEDICARE
KY
Enumeration date
05/26/2006
Last updated
07/29/2020
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