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

Kenneth Wade Martin, MD

Individual provider Radiation Oncology Physician · NPI 1265471338

Kenneth Wade Martin, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 1982, 44 years ago. Practices with Stc Pediatrics LLC, a 70-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
44
Licensed in
CA, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (215) 427-5234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 747 52nd St, Oakland, CA 94609-1809 — (510) 428-3410

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD479412 (PA)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence MD479412 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence G59973 (CA)

Record details

NPI number1265471338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Stc Pediatrics Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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