KEYNA ANN MARTINEZ (NPI# 1013941699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013941699 |
| Entity Type | Individual |
| Full Name | KEYNA ANN MARTINEZ |
| Credential | M.D. |
| Practice Address |
601 N. Michigan Street Lakeville IN 46536 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5747848244 |
| Practice Fax Number | 5747848632 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01065420A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11013105A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS MEDPOINT | 000000721565 | 01 |
| IN | RR MEDICARE | P01067792 | 01 |
| IN | BCBS BMG E BLAIR WARNER | 000000744056 | 01 |
| IN | 200969910 | 05 | |
| IN | BCBS BMG LAKEVILLE | 000000720192 | 01 |
| IN | MEDICARE PTAN | 162520069 | 01 |
| Street Address |
601 N. MICHIGAN STREET |
| City | LAKEVILLE |
| State | IN |
| Zip Code | 46536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992734131 | Union North Ambulance Service | Ambulance | 507 N. Michigan Trail, Lakeville, IN 46536 | 2006-07-01 |
| 1699727545 | Beacon Medical Group, Inc. | Family Medicine | 601 North Michigan Street, Lakeville, IN 46536 | 2006-05-17 |
| 1275517351 | Ellyn Therese Stecker | Family Medicine | 601 N. Michigan St., Lakeville, IN 46536 | 2005-12-02 |
| 1811973324 | Cynthia Lee Heckman-davis | Family Medicine | 601 N. Michigan St., Lakeville, IN 46536 | 2005-12-16 |
| 1407389158 | Hoosier Taxi Inc | Ambulance | 110 N Michigan St, Lakeville, IN 46536-7701 | 2017-04-10 |
| 1184245961 | Chelsea Elizabeth Shaffer | Dietitian, Registered | 22320 Riley Rd, Lakeville, IN 46536-9433 | 2020-05-02 |
| 1811289960 | Randa D Cox | Respite Care | 119 Lake Trl, Lakeville, IN 46536-9702 | 2011-05-09 |
| 1427103514 | Union-north United School Corporation | Case Manager/Care Coordinator | 22601 Tyler Rd, Lakeville, IN 46536-9733 | 2007-01-25 |
| 1679803316 | Union-north United School Corp | Local Education Agency (LEA) | 22601 Tyler Rd, Lakeville, IN 46536-9733 | 2009-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385268 | Nicole Hill | Assistant Behavior Analyst | 831 Macbeth Cir, Lakeville, MN 55044-9583 | 2020-10-26 |
| 1174122758 | Kmjv Operation LLC | Lodging | 19351 Indiana Ave, Lakeville, MN 55044-4849 | 2020-10-23 |
| 1922605666 | Toujours Care Corp | Adult Companion | 16336 Jamison Path, Lakeville, MN 55044-6613 | 2020-10-06 |
| 1033724182 | Lauren B Frankenbach | Social Worker | 327 Main St., Lakeville, CT 06039 | 2020-09-14 |
| 1043825961 | Kevin Eskuri | Specialist/Technologist | 8090 172nd St W, Lakeville, MN 55044-6206 | 2020-09-09 |
| 1598370462 | Mallory J Allinder | Registered Nurse | 17944 Jasmine Ct, Lakeville, MN 55044-8750 | 2020-09-08 |
| 1245843556 | Mobile Xray Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 350 Bedford St Ste 5a, Lakeville, MA 02347-2128 | 2020-08-26 |
| 1245841535 | Lindsey John | Physical Therapist | 17810 Hollybrook Trl, Lakeville, MN 55044-6660 | 2020-08-11 |
| 1982214391 | Livable Home Solutions, LLC | Contractor | 10065 198th Ct W, Lakeville, MN 55044-7458 | 2020-08-01 |
| 1750999546 | Serenity Behavioral Health & Wellness, LLC | Psychologist | 18318 Lansford Path, Lakeville, MN 55044-4955 | 2020-07-17 |
| Find all providers in LAKEVILLE | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639340409 | Mark S Mellstrom, Md, Pa | Family Medicine | 20157 Icenic Trl, Lakeville, MN 55044-7708 | 2008-03-19 |
| 1801996905 | Charles G Walker | Family Medicine | 15 Vaughan St, Lakeville, MA 02347-1638 | 2006-09-25 |
| 1437187655 | Drew T Emerson | Family Medicine | 3509 Thomas Dr, Suite 4, Lakeville, NY 14480-9758 | 2006-06-28 |
| 1699727545 | Beacon Medical Group, Inc. | Family Medicine | 601 North Michigan Street, Lakeville, IN 46536 | 2006-05-17 |
| 1871551994 | Barry A Bershow | Family Medicine | 10450 185th St W, Suite 300, Lakeville, MN 55044-6686 | 2006-05-01 |
| 1124090493 | Robert James Gagnon | Family Medicine | 5 Precinct St, Lakeville, MA 02347-1427 | 2006-02-02 |
| 1275517351 | Ellyn Therese Stecker | Family Medicine | 601 N. Michigan St., Lakeville, IN 46536 | 2005-12-02 |
| 1255333662 | Greg C Randall | Family Medicine | 17599 Kenwood Trl, Lakeville, MN 55044-8330 | 2005-08-15 |
| 1700393808 | Southcoast Physicians Group, Inc. | Family Medicine | 12 Main St, Lakeville, MA 02347-1606 | 2018-01-10 |
| 1164874574 | Daniel Hanson | Family Medicine | 18432 Kenrick Ave, Lakeville, MN 55044 | 2016-07-09 |
| Find all providers in LAKEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.