MR. THOMAS EUGENE MARTIN (NPI# 1073804084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073804084 |
Entity Type | Individual |
Full Name | MR. THOMAS EUGENE MARTIN |
Credential | IDC |
Practice Address |
36329 Saint Raphael Dr Murrieta CA 92562-8846 |
Practice Telephone | 9517644270 |
Mailing Telephone | 9517644270 |
Enumeration Date | 2011-04-25 |
Last Update Date | 2011-04-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
CA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003387358 | Thomas R. Martin | Counselor | 58 E Route 59 Ste 2, Nanuet, NY 10954-2959 | 2018-12-16 |
1346699477 | Thomas Martin | Dentist | 921 Arrowwood Dr, Carmel, IN 46033-9044 | 2016-06-09 |
1710217831 | Thomas G Martin | Pharmacist | 1517 N Wilmot Rd # 151, Tucson, AZ 85712-4410 | 2010-01-12 |
1457588543 | Thomas James Martin | General Practice | 56 Rice St., Pawwtucket, RI 02861-1530 | 2009-06-16 |
1588820799 | Thomas Anthony Martin | Dentist | 135 Meadow Ln, Tonawanda, NY 14223-1365 | 2008-08-07 |
1184899254 | Thomas Ellsworth Martin Jr. | Chiropractor | 1020 N Providence Rd, Media, PA 19063-2101 | 2008-04-29 |
1356520647 | Thomas Charles Martin | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2007-11-02 |
1770634198 | Thomas O. Martin | Psychologist | 5621 Savina Ave, Dayton, OH 45415-1155 | 2007-01-13 |
1760580575 | Thomas Alan Martin | Pharmacist | 111 Benjamin Ct, Shelby, NC 28152-8181 | 2006-09-20 |
1023128493 | Thomas Patrick Martin | Emergency Medicine | 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814-1402 | 2006-08-30 |
Street Address |
36329 SAINT RAPHAEL DR |
City | MURRIETA |
State | CA |
Zip Code | 92562-8846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
Find all providers in zip 92562 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306242292 | Gregory Ryan Kite | Military Health Care Provider | 24323 Jackson Ave Apt 721, Murrieta, CA 92562-7905 | 2014-11-05 |
1760825467 | Joshua Andrew Beard | Military Health Care Provider | 30949 Moonflower Ln, Murrieta, CA 92563-7952 | 2013-04-11 |
1588969109 | Augustine Osegbe Osazuwa | Military Health Care Provider | 35485 Evening Glow Dr, Murrieta, CA 92563-7982 | 2011-01-12 |
1326222308 | Jason L. Juarez | Military Health Care Provider | 40115 Buckwood Way, Murrieta, CA 92562-3816 | 2007-12-26 |
1336353754 | Clarence Dean Conner | Military Health Care Provider | 41883 Dahlias Way, Murrieta, CA 92562-2231 | 2007-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547227 | Landri Acosta | Military Health Care Provider | 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 | 2020-10-29 |
1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
1356955918 | Daniel Carr | Military Health Care Provider | 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 | 2020-09-01 |
1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
1639782899 | Tyler Collin Sparks | Military Health Care Provider | 1 Mrb, Camp Pendletion, CA 92055 | 2020-08-27 |
1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
Find all providers with the same taxonomy |
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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.