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THADDEUS DEAN MARTIN MD
NPI 1366299216
Student in an Organized Health Care Education/Training Program in Point Pleasant, WV

Active since April 30, 2024PECOS Enrolled
1 JOHN MARSHALL DR, POINT PLEASANT, WV 25550(304) 691-1500 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thaddeus Dean Martin Md NPPES

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

THADDEUS DEAN MARTIN MD (NPI 1366299216) is an individual student in an organized health care education/training program in Point Pleasant, West Virginia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366299216
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHADDEUS DEAN MARTINCredential: MD
Location Address1 JOHN MARSHALL DRPoint Pleasant, WV 25550-1749
Mailing Address1 John Marshall DrPoint Pleasant, WV 25550-1749 · (304) 691-1500
Phone(304) 691-1500
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1366299216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 JOHN MARSHALL DR, Point Pleasant, WV 25550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thaddeus Dean Martin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

DR. HAYA IMAD HARB MD
Student in an Organized Health Care Education/Training Program
1 JOHN MARSHALL DR
POINT PLEASANT, WV 25550
Mason County (304) 733-8735
DR. WALEED IBRAHIM MD
Student in an Organized Health Care Education/Training Program
1 JOHN MARSHALL DR
POINT PLEASANT, WV 25550
Mason County (860) 714-3690

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 Thaddeus Martin's NPI number?

The NPI number for Thaddeus Martin is 1366299216. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Thaddeus Martin located?

Thaddeus Martin practices at 1 John Marshall Dr, Point Pleasant, WV 25550. The listed phone number is (304) 691-1500.

What is Thaddeus Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thaddeus Martin enrolled in Medicare?

Yes. Thaddeus Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thaddeus Martin was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.