Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Martin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720473358

Andrew Martin is a General Surgery in LA Porte, Indiana. Graduated from Wright State University Boonshoft School of Medicine in 2015, 11 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana and Pennsylvania.

Years since qualifying
11
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
IN, PA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

400 Legacy Plz W
LA Porte, IN 46350-5296
Phone: (219) 379-3166
Fax: (219) 324-9730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1331 State St, La Porte, IN 46350-3112 — (219) 379-3166
  • 3777 N Frontage Rd Ste 300, Michigan City, IN 46360-7696 — (219) 879-6021
  • 525 E Market St, Akron, OH 44304-1619 — (330) 375-3000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01085305A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MD470087 (PA)

Record details

NPI number1720473358
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing address2022 Kelle Dr, Chesterton, IN 46304-8708

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice La Porte Clinic Company Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in LA Porte