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Deactivated NPI 1013910686 Deactivated / Inactive NPI Male Practitioner

Dr. Wayne B Martin , MD

Surgery • La Crosse, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wayne Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 27, 2005
NPI Deactivation Date August 06, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Wayne Martin, MD was a registered Surgery practicing in La Crosse, WI. Throughout an active medical career spanning 14 years, Dr. Martin provided care at the practice location at 1836 SOUTH AVE until profile deactivation on 2019-08-06.

Practice Location & Contact Primary Location

Practice Address

1836 South Ave

La Crosse, WI 546015429

Telephone 6087827300
Associated Practice Facility / Clinic
🏢 Gundersen Clinic Ltd Facility NPI 1851343115

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Crosse, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.2 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
41 Specialists

Practicing in La Crosse, WI (765 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 18071

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Thesing , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003090507

Certified Registered Nurse Anesthetist

NPI 1003167909

Doctor of Psychology (Psy.D.)

NPI 1003201427
Julie Sonsalla , APNP

Nurse Practitioner - Adult Health

NPI 1003285511

Advanced Practice Nurse Prescriber

Laura Klingbeil

Orthopaedic Surgery

NPI 1003293713
Susan Sorrentino , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003313610

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 06, 2019

Record deactivated on August 06, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

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Updated Business Mailing Address July 08, 2007

Registered at 18606 ERVIN ST, WHITEHALL, WI 547738613 (Tel: 7155384335)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE MARTIN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #18071 in WI)

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Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013910686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: July 08, 2007
Deactivation Date: August 06, 2019

Mailing Address

18606 Ervin St

Whitehall, WI 547738613

Phone: 7155384335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.