Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 18948 | NE |
N | 111NI0900X | Internist | 18948 | NE |
N | 207RC0000X | Internist - Cardiovascular Disease | 18948 | NE |
Y | 207RI0011X | Interventional Cardiology | 18948 | NE |
NPI | 1023107067 |
---|---|
Provider Name | Steven L Martin |
First Address | Lincoln, NE 68526-9797 |
Second Address | Lincoln, NE 68526-9797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 01/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100148440B | (05) | KS |
10026072000 | (05) | NE |
10026072200 | (05) | NE |
10026072300 | (05) | NE |
10026072400 | (05) | NE |
10026072500 | (05) | NE |
10026072600 | (05) | NE |
47070592300 | (05) | NE |
47070592301 | (05) | NE |
47070592302 | (05) | NE |
47070592305 | (05) | NE |
47070592306 | (05) | NE |
47070592313 | (05) | NE |
F50689 | (02) | |
O537183 | (05) | IA |