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

Edward Justin Martinez

Individual provider Urology Physician · NPI 1578983524

Edward Justin Martinez is an Urology in Twin Falls, Idaho. Graduated from Eastern Virginia Medical School in 2014, 12 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Massachusetts.

Years since qualifying
12
Trained at
Eastern Virginia Medical School
Licensed in
ID, MA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

775 Pole Line Rd W Ste 301
Twin Falls, ID 83301-5823
Phone: (208) 814-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Herrick St Ste 219, Beverly, MA 01915-5900 — (978) 927-0714

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence M-16287 (ID)
Urology Physician Taxonomy 208800000X · Licence 279546 (MA)

Record details

NPI number1578983524
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Twin Falls