Jack L. Martin, M.D., P.A.
NPI 1619148848ActiveOrganization· Internal Medicine, Cardiovascular Disease· Bryn Mawr, PA
Internal Medicine, Cardiovascular Disease in Bryn Mawr, Pennsylvania, registered in NPPES in March 2008. The authorized official on file is Jack Lee Martin, M.D., Owner.
Overview
| NPI | 1619148848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2008 |
| Last updated in NPPES | Jun 29, 2022 |
| Certified by provider | Jun 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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