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TEACKLE W. MARTIN MD NPI 1699732578


NPI Information

NPI: 1699732578
Provider Name: TEACKLE W. MARTIN, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
1900 HOSPITAL DRIVE
SUITE 200
SEDRO WOOLLEY, WA
ZIP 98284
Phone: (360) 856-4222
Get Directions

Teackle W. Martin, MD is an internal medicine in Sedro Woolley, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Teackle W. Martin, MD NPI is 1699732578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 HOSPITAL DRIVE
SUITE 200
SEDRO WOOLLEY, WA
ZIP 98284
Phone: (360) 856-4222
Fax: (360) 854-2792

The enumeration date for this NPI number is 4/26/2006 and was last updated on 11/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMD00014430WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1263561OTHERWASHINGTONLABOR & INDUSTRIES
28892578MEDICARE PINWASHINGTON
31543602MEDICAIDWASHINGTON
4A09007MEDICARE UPINWASHINGTON
5AB21979MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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