MICAH DESHAUN MARTIN


Address: 1420 Valwood Pkwy Ste 170, Carrollton, TX 75006-8312
Phone: 9188145898

MICAH DESHAUN MARTIN (NPI# 1073002960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073002960
Entity Type Individual
Full Name MICAH DESHAUN MARTIN
Credential AGNP-C
Practice Address 1420 Valwood Pkwy Ste 170
Carrollton
TX 75006-8312
Mailing Address 5275 Town and Country Blvd Apt 2448
Frisco
TX 75034-6257
Practice Telephone 9188145898
Mailing Telephone 9188145898
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP136599 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP136599 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1420 VALWOOD PKWY STE 170
City CARROLLTON
State TX
Zip Code 75006-8312

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NPI Name Taxonomy Address Enumeration
1316505043 Ethicus Hospital Dfw LLC General Acute Care Hospital 1401 E. Trinity Mills Road, Carroliton, TX 75006 2019-05-29
1215422712 Jennifer Rebecca Joseph Nurse Anesthetist, Certified Registered 1446 E Trinity Mills Rd, Carrollton, TX 75006 2018-06-27
1619479185 Dedrie Marie Beck Physical Therapy Assistant 1000 W. Crosby Road, Carrollton, TX 75006 2018-03-01
1851892475 Springcare Enterprises Clinic/Center 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 2018-02-28
1659892685 Brandon Maughan Social Worker 1100 West Jackson Road, Carrollton, TX 75006 2017-06-29
1568997500 Ad Precision Health Clinic, Pllc Specialist 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 2017-04-27
1366992976 Total Body Chiropractic Chiropractor 2201 Midway Rd Ste 107, Carrollton, TX 75006 2016-10-06
1679021042 Keturah Health, LLC Internal Medicine 1420 Valwood Parkway, 170a, Carrollton, TX 75006 2016-09-14
1104202019 Dazzling Smiles Dental Dentist 2145 North Josey Lane., Carrollton, TX 75006 2015-08-03
1336533595 First Texas Hospital Carrollton LLC General Acute Care Hospital 1401 E. Trinity Mills Rd, Carrollton, TX 75006 2015-03-26
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053821942 Shova Gurung Nurse Practitioner 3829 Westminster Dr, Carrollton, TX 75007-2628 2017-10-04
1366452617 Diana L. Dally Nurse Practitioner 1020 Trump Rd, Carrollton, OH 44615 2006-08-09
1831750926 Kelli Strickland Nurse Practitioner 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 2019-06-28
1487153839 Lauren Holcombe Nurse Practitioner 100 Professional Pl Ste 204, Carrollton, GA 30117 2018-02-12
1881149102 Shelley Smith Nurse Practitioner 129 Bankhead Hwy, Carrollton, GA 30117-3425 2016-08-16
1952854572 Hannah Pollard Nurse Practitioner 100 Professional Pl, #202, Carrollton, GA 30117-3874 2016-07-31
1285187161 Kerri Coduti Nurse Practitioner 3730 N Josey Ln, #104, Carrollton, TX 75007-2484 2016-07-27
1306293923 Sequoise Givens Nurse Practitioner 2459 E Hebron Pkwy, Carrollton, TX 75010-4482 2016-05-24
1184084600 Kelly Forrest Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2016-02-25
1366829095 Corie Price Nurse Practitioner 157 Clinic Ave, Suite 201, Carrollton, GA 30117-4454 2015-05-01
Find all providers in CARROLLTON

Competitor

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City CARROLLTON
Zip Code 75006

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Dataset Information

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.

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