DR. JAMES PETER MARTIN (NPI# 1053314302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053314302 |
Entity Type | Individual |
Full Name | DR. JAMES PETER MARTIN |
Credential | D.O. |
Practice Address |
1619 Creighton Rd Ste 1 Pensacola FL 32504-7152 |
Practice Telephone | (850) 444-4700 |
Practice Fax Number | 8504348144 |
Mailing Telephone | (850) 444-4700 |
Mailing Fax Number | 8504447497 |
Enumeration Date | 2005-05-31 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
DO.1286 | AL | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
OS3923 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | DEA LICENSE | AM8315649 | 01 |
FL | 261540100 | 05 | |
AL | MEDICAL LICENSE | DO.1286 | 01 |
FL | BLUE CROSS BLUE SHIELDS | 51866 | 01 |
AL | DEA LICENSE | FM3421536 | 01 |
FL | MEDICAL LICENSE | OS3923 | 01 |
FL | FLORIDA RR MEDICARE | 110233261 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
6001 Industrial Blvd, Century, FL 325353312 | 8504444700 | 8504348144 |
5149 N 9th Ave Ste G35, Pensacola, FL 325048733 | 8504444700 | 8504348144 |
2940 N Blue Angel Pkwy, Pensacola, FL 325062925 | 8504444700 | 8504348144 |
1717 N E St Ste 403, Pensacola, FL 325016334 | 8504444700 | 8504348144 |
36474a Emerald Coast Pkwy Ste 1102, Destin, FL 325413706 | 8508622385 | 8508620482 |
4304 Lancaster Dr, Niceville, FL 325784563 | 8508622385 | 8508620482 |
221 E Redstone Ave, Crestview, FL 325395373 | 8503986606 | 8503986424 |
4415 Us Highway 331 S, Defuniak Springs, FL 324356307 | 8503986606 | 8503986424 |
8880 Navarre Pkwy Ste 101, Navarre, FL 325663613 | 8508622385 | 8508620482 |
319 Green Acres Rd Ste 103, Fort Walton Beach, FL 325471170 | 8508622385 | 8508620482 |
1118 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 325617806 | 8504444700 | 8504348144 |
14114 Alabama St, Jay, FL 325651219 | 8504444700 | 8504348144 |
5934 Berryhill Medical Park Dr Ste 1, Milton, FL 32570 | 8506234771 | 8506233938 |
4583 Watkins St, Pace, FL 325712511 | 8508894152 | 8506233938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467091439 | James Patrick Martin | Massage Therapist | 100 West South Street, Jasper, AR 72641 | 2019-12-23 |
1548818776 | James Martin | Case Manager/Care Coordinator | 315 Sw Jeanette Cir, Madison, FL 32340-1155 | 2019-08-30 |
1255811634 | James Randall Martin | Counselor | 2703 Build America Dr, Hampton, VA 23666-3225 | 2018-08-15 |
1437660024 | James Henry Martin | Licensed Practical Nurse | 5708 29th Avenue Dr E, Bradenton, FL 34208-6555 | 2017-10-23 |
1528595196 | James Patrick Martin | Dentist | 1268 S Main St, Wake Forest, NC 27587-4997 | 2017-05-15 |
1346774924 | James Martin | Anesthesiology | 988 E Maple St, Palmyra, PA 17078-2815 | 2017-04-20 |
1982151916 | James Martin | Technician, Other | 12897 Black Walnut Dr, Shelby Twp, MI 48315-6907 | 2016-09-07 |
1366892713 | James Isaac Martin | Physician Assistant | 2532 Ne Multnomah St, Portland, OR 97232-2128 | 2016-06-16 |
1730439142 | James Martin | Social Worker | 285 John Tarr Rd, Bowdoin, ME 04287-7141 | 2012-09-12 |
1629325675 | James Michael Martin | Dentist | 1314 Westbrook St, Portland, ME 04102-1617 | 2012-08-09 |
Street Address |
1619 CREIGHTON RD STE 1 |
City | PENSACOLA |
State | FL |
Zip Code | 32504-7152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649273327 | Edward L Friedland | Internal Medicine | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2005-05-24 |
1790261550 | David Kenneth Mason | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-07-16 |
1063906014 | Rebecca Allen Thompson | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-06-21 |
1427545664 | Heather Lynne Distelrath | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-04-13 |
1962904003 | Dane Olivier Monnin | Physician Assistant | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-03-05 |
1659817153 | Allison Dew Edwards | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2017-01-09 |
1962851501 | Dawn Renee Frederic | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504 | 2016-06-05 |
1710394549 | Lynn Johnson | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2014-07-14 |
1710324553 | Eve Albrecht Cox | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2013-06-03 |
1508174236 | Amy Dugger | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2010-09-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
Find all providers in zip 32504 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790761245 | George B. Antonious | Internal Medicine | 8333 N Davis Hwy Fl 2, Pensacola, FL 32514-6050 | 2005-12-16 |
1376545566 | Humam Humeda | Internal Medicine | 1619 Creighton Rd, Ste 1, Pensacola, FL 32504-7152 | 2005-06-01 |
1649273327 | Edward L Friedland | Internal Medicine | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2005-05-24 |
1023290475 | Douglas Scott Keith | Internal Medicine | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2007-11-28 |
1194846923 | Derek Jimenez | Internal Medicine | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2007-04-02 |
1659482784 | Thomas L Curry | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503 | 2006-08-31 |
1841265253 | Haitham O Qader | Internal Medicine | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2006-02-20 |
1821074378 | Linda L Stallings | Internal Medicine | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-12-16 |
1477539914 | Nephrology Associates of The Gulf Coast, Pa | Internal Medicine | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-12-16 |
1669458113 | Clyde M. Pence | Internal Medicine | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-12-16 |
Find all providers in PENSACOLA |
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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.