Provider Demographics
NPI:1942296470
Name:MARTIN, WILLIAM JOSEPH (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:MARTIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 827282
Mailing Address - Street 2:TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-7282
Mailing Address - Country:US
Mailing Address - Phone:215-238-6600
Mailing Address - Fax:215-629-0716
Practice Address - Street 1:8TH & RACE ST
Practice Address - Street 2:TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-2496
Practice Address - Country:US
Practice Address - Phone:215-238-6600
Practice Address - Fax:215-629-4905
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001619L213E00000X, 213ES0103X, 213ES0131X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA9018OtherELDER HEALTH / BRAVO
NJ2307600OtherNJ MEDICAL ASSISTANCE
PA435792OtherHEALTH AMERICA HEALTH ASSURANCE
PA999740OtherKEYSTONE HEALTH PLAN PPO
PA1112242OtherKEYSTONE MERCY
PA2366249OtherAETNA
PA28824OtherHEALTH PARTNERS
PA3Y2561OtherHEALTH NET
PA480029985OtherRAILROAD MEDICARE
PA0005043750005Medicaid
PA231365971OtherUNITED HEALTH CARE
PA368819OtherHMA
PAJ76417OtherINTER-CITY
PA2092599OtherCIGNA
PA231365971OtherHUMANA
PA231365971071OtherTRI-CARE
PA504375Medicaid
PAP875775OtherOXFORD
PA0060559000OtherKEYSTONE HEALTH PLAN HMD
PAMA076417OtherBLUE SHIELD OF PA
PA999740OtherKEYSTONE HEALTH PLAN PPO
PA231365971071OtherTRI-CARE