MARTIN SURGICAL ASSOCIATES LLC
NPI 1104897008
Surgery in Dayton, OH

NPI Status: Active since January 30, 2006

Contact Information

8940 KINGSRIDGE DRIVE
SUITE 105
DAYTON, OH
ZIP 45458
Phone: (937) 439-4178
Fax: (937) 439-4740

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  • Organization
  • Surgery

About MARTIN SURGICAL ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Martin Surgical Associates Llc, a provider established in Dayton, Ohio operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1104897008 assigned on January 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Derrick J Martin Sr. Md (President)

NPI
1104897008
Provider Name
MARTIN SURGICAL ASSOCIATES LLC
Entity Type
Organization
Location Address
8940 KINGSRIDGE DRIVE SUITE 105 DAYTON, OH 45458
Location Phone
(937) 439-4178
Location Fax
(937) 439-4740
Mailing Address
8940 KINGSRIDGE DRIVE SUITE 105 DAYTON, OH 45458
Mailing Phone
(937) 439-4178
Mailing Fax
(937) 439-4740
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2006
Last Update Date
11-27-2007
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A surgeon like Martin Surgical Associates Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DERRICK J MARTIN SR. MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(937) 439-4178

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000189411OTHER (01)OHANTHEM
D60556OTHER (01)OHCHOICECARE
0803330MEDICAID (05)OH 
9339341MEDICARE PIN (08)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104897008
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041691400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 9 + 1 + 4 + 0 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1104897008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104897008, enumerated in the NPI registry as an "organization" on January 30, 2006

The provider is located at 8940 Kingsridge Drive Suite 105 Dayton, Oh 45458 and the phone number is (937) 439-4178

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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