MR. JACK FREDERICK MARTIN SR. (NPI# 1073707998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073707998 |
| Entity Type | Individual |
| Full Name | MR. JACK FREDERICK MARTIN SR. |
| Credential | MD |
| Practice Address |
1220 Aspen Way Jack F Martin Md Petoskey MI 49770 |
| Practice Telephone | 2313483013 |
| Mailing Telephone | 2313483013 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301022915 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700915279 | Jack Kennard Martin | Chiropractor | 203 S Bridge St, Dewitt, MI 48820-8911 | 2007-03-02 |
| 1003914342 | Jack Richard Martin | Chiropractor | 1601 East Main Street, Suite 1b, St Charles, IL 60174 | 2006-09-20 |
| 1942206214 | Jack L Martin | Internal Medicine | 18615 Tuscany Stone, Suite 170, San Antonio, TX 78258-3498 | 2005-06-22 |
| 1417592817 | Jack Martin | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2019-11-10 |
| 1255574521 | Jack Robert Martin | Psychologist | 1300 National Dr, Suite 170, Sacramento, CA 95834-1947 | 2009-04-15 |
| 1831309269 | Jack Martin | Counselor | 5934 S Staples St, Suite 210, Corpus Christi, TX 78413-3842 | 2007-05-23 |
| 1790879765 | Jack W. Martin | Dentist | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-03 |
| 1932159878 | Jack T. Martin | Radiology | 4518 Union Deposit Rd, Harrisburg, PA 17111-2910 | 2006-05-11 |
| Street Address |
1220 ASPEN WAY JACK F MARTIN MD |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558652727 | Anthony Bozzio | Orthopaedic Surgery | 4048 Cedar Bluff Dr Ste 1, Petoskey, MI 49770-8895 | 2011-04-22 |
| 1528294162 | Robert M Mandell | Orthopaedic Surgery | 4092 Harbor View Rdg, Petoskey, MI 49770-8424 | 2009-06-10 |
| 1003147885 | Bay Street Orthopaedics Pllc | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770-8895 | 2010-01-19 |
| 1972832368 | Joseph W Hance Md PC | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770-8895 | 2009-12-14 |
| 1679802086 | Brian D Wittenberg Md PC | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770-8895 | 2009-12-14 |
| 1588993984 | Mark R Mcmurray Md PC | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770-8895 | 2009-12-14 |
| 1306175724 | Daniel K Wilcox Md PC | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770-8895 | 2009-12-14 |
| 1417281106 | N C Narten Md Plc | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770-8895 | 2009-09-28 |
| 1841524758 | Ronald A Ronquist Md PC | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770 | 2009-09-24 |
| 1053543736 | Loyal W Jodar Md PC | Orthopaedic Surgery | 4048 Cedar Bluff Dr, Ste 1, Petoskey, MI 49770-8895 | 2009-08-14 |
| Find all providers in PETOSKEY | ||||
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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.