JACK T. MARTIN MD – NPI #1932159878
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

JACK MARTIN is a radiologist located in HARRISBURG, PA. NPPES has assigned the NPI number 1932159878 to JACK MARTIN on May 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK MARTIN below.

NPI Profile for
JACK T. MARTIN

NPI Number
1932159878
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK T. MARTIN
Credentials
MD
Primary location
4518 UNION DEPOSIT RD
HARRISBURG, PA 17111-2910
Phone: (717) 652-5840 Fax: (717) 652-8152
Mailing address
4520 UNION DEPOSIT RD
HARRISBURG, PA 17111-2910
Phone: (717) 652-6105 Fax: (717) 652-8152
Sole Proprietor
No
Updated
Identifiers

Identifiers for JACK MARTIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCAPITAL BLUE CROSSPA50084215
otherHIGHMARK BLUE SHIELDPA453061
medicaidPA0017475650001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
PA MD063451L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE - Graduated 1995
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK MARTIN is affiliated with the following medical group(s):
  • HOSPITAL
    • GEISINGER MEDICAL CENTER
      100 NORTH ACADEMY AVENUE
      DANVILLE, PA 17822
    • GEISINGER WYOMING VALLEY MEDICAL CENTER
      1000 EAST MOUNTAIN BOULEVARD
      WILKES BARRE, PA 18711
    • GEISINGER-BLOOMSBURG HOSPITAL
      549 EAST FAIR STREET
      BLOOMSBURG, PA 17815
    • GEISINGER-COMMUNITY MEDICAL CENTER
      1822 MULBERRY STREET
      SCRANTON, PA 18510
    • GEISINGER-LEWISTOWN HOSPITAL
      400 HIGHLAND AVENUE
      LEWISTOWN, PA 17044

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