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DOUGLAS MARTIN
NPI 1205812302
Pediatrics in Chanhassen, MN

Active since December 20, 2005
300 LAKE DR E, CHANHASSEN, MN 55317(952) 993-4300 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS MARTIN (NPI 1205812302) is an individual pediatrics provider in Chanhassen, Minnesota, licensed in Minnesota (23593) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1205812302
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS MARTIN
Location Address300 LAKE DR EChanhassen, MN 55317-9302
Mailing Address3800 Park Nicollet Blvd, CredentialingSt Louis Park, MN 55416-2527
Phone(952) 993-4300
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateMarch 5, 2012
✔ NPI 1205812302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 23593
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 LAKE DR E, Chanhassen, MN 55317
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM BLASCHKO DPT
Physical Therapist
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-5900
DR. WILLIAM D KNOPP M.D.
Family Medicine
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-4300
DR. PATRICIA A JILEK O.D.
Optometrist
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-4455
NICOLE NOYES
Family Medicine
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-4300
KATHLEEN C SPENCER PA-C
Physician Assistant (Medical)
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-4327
PATRICIA KATHLEEN OYS P.T. , DPT
Physical Therapist
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-4300
MARGARET JANE SCHWARTZ MD
Family Medicine
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-4300
DR. VIRGINIA L KAKACEK M.D.
Family Medicine
300 LAKE DR E
CHANHASSEN, MN 55317
Carver County (952) 993-2183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Martin's NPI number?

The NPI number for Douglas Martin is 1205812302. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Douglas Martin located?

Douglas Martin practices at 300 Lake Dr E, Chanhassen, MN 55317. The listed phone number is (952) 993-4300.

What is Douglas Martin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Douglas Martin was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.