OrganizationActive
Martin Surgical Associates LLC
NPI 1104897008 · Surgery Physician · Dayton, OH
Provider details
- NPI number
- 1104897008
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derrick Martin, President(937) 439-4178
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8940 Kingsridge Drive
Suite 105
Dayton, OH 45458
Phone: (937) 439-4178
Fax: (937) 439-4740
Street-level locationGet directions
Mailing address
8940 Kingsridge Drive
Dayton, OH 45458
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2007-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.