TIMOTHY JOHN MARTIN (NPI# 1053394767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053394767 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN MARTIN |
| Credential | MD |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Practice Fax Number | 3367167994 |
| Mailing Telephone | 3367162255 |
| Mailing Fax Number | 3367167994 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 34084 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6324207 | 05 | |
| NC | 8954429 | 05 | |
| AETNA | 5735102 | 01 | |
| SC | Q34084 | 05 | |
| WV | 9840171000 | 05 | |
| NC | BCBS | 54429 | 01 |
| NC | PARTNERS | 3500 | 01 |
| NC | MEDCOST | 45602 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568677524 | Timothy Bruce Martin | Family Medicine | 20 Calypso Shrs, Novato, CA 94949-5309 | 2007-05-13 |
| 1306961487 | Timothy Ross Martin | Dentist | 1599 Fort Henry Drive, Kingsport, TN 37664 | 2007-03-20 |
| 1386716686 | Timothy Shane Martin | Family Medicine | 2110 N Willis St, Suite B, Abilene, TX 79603-4359 | 2006-11-14 |
| 1104998418 | Timothy L Martin | Counselor | 923 East Norfolk Ave, Norfolk, NE 68701 | 2006-11-14 |
| 1366486722 | Timothy J Martin | Internal Medicine | 1050 W 10th St Ste 500, Rolla, MO 65401 | 2006-06-16 |
| 1336601723 | Timothy Paul Martin | Nurse Practitioner | 281 W 4th St, Independence, LA 70443-2386 | 2019-04-03 |
| 1366902934 | Timothy Martin | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-03-21 |
| 1134688542 | Timothy Martin | Physical Therapist | 200 Petersville Rd Ste 3, New Rochelle, NY 10801-4465 | 2019-03-15 |
| 1154834703 | Timothy Martin | Peer Specialist | 109 S 2nd St, Central City, KY 42330-1505 | 2017-11-06 |
| 1790215754 | Timothy Martin | Social Worker | 90 Wagner Rd, Monaca, PA 15061-2489 | 2017-06-13 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
| 1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
| 1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
| 1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
| 1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
| 1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
| 1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
| 1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
| 1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
| 1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380874 | Margaret A Greven | Ophthalmology | Medical Center Blvd Dept of Ophthalmology, Winston Salem, NC 27157-3216 | 2011-05-10 |
| 1851531602 | Henry W Burnett, M.d., P.a. | Ophthalmology | 110 Oakwood Dr, Suite 380, Winston Salem, NC 27103-1957 | 2009-03-05 |
| 1770721565 | The Center for Sight, Pllc | Ophthalmology | 4964 University Pkwy Ste 105, Winston Salem, NC 27106-2800 | 2009-02-02 |
| 1922281385 | Chanda A. Griessel M.d., Pllc | Ophthalmology | 150 Kimel Park Dr, Suite 200, Winston Salem, NC 27103-6992 | 2007-12-07 |
| 1700097060 | Susanna S Ringeman | Ophthalmology | 2827 Lyndhurst Ave Ste 204, Winston Salem, NC 27103-4145 | 2007-05-25 |
| 1376682344 | Mark H Nelson Md Pa | Ophthalmology | 750 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7105 | 2007-02-06 |
| 1891831905 | Willard L Mccloud Jr. | Ophthalmology | 620 Dunleith Ave, Winston Salem, NC 27101-3374 | 2007-01-29 |
| 1023192911 | Frank Moya | Ophthalmology | 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 | 2006-10-25 |
| 1306856703 | Chanda Annette Griessel | Ophthalmology | 150 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6992 | 2006-08-08 |
| 1598729147 | Hawthorne Eye Associates, P.a. | Ophthalmology | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2006-04-12 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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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.