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

Misha Lee Taber Martinez, MD

Individual provider Pediatrics Physician · NPI 1528221082

Misha Lee Taber Martinez, MD is a Pediatrics Physician in Granite City, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2008.

Licensed in
IL, MO
In the registry since
2008
Specialties on file
2
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

3165 Myrtle Ave Ste 2
Granite City, IL 62040-5012
Phone: (618) 876-7500
Fax: (618) 876-0807
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036-129509 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 2011012182 (MO)

Record details

NPI number1528221082
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2008
Last updated in NPPESJanuary 26, 2015

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