DR. MELISSA ROSE MARTIN (NPI# 1093153405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093153405 |
| Entity Type | Individual |
| Full Name | DR. MELISSA ROSE MARTIN |
| Credential | M.D. |
| Practice Address |
1700 S Broad St Suite #301 Philadelphia PA 19145-2315 |
| Mailing Address |
3401 Civic Center Blvd 9nw63 Philadelphia PA 19104-4319 |
| Practice Telephone | 2154675870 |
| Mailing Telephone | 2155901220 |
| Mailing Fax Number | 2155902768 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD457832 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MT203779 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821636770 | Melissa Martin | Speech-Language Pathologist | 1132 Greensward Dr, Tallahassee, FL 32312-6775 | 2019-12-11 |
| 1457817942 | Melissa Michelle Martin | Licensed Vocational Nurse | 13206 N County Road 3220, Idalou, TX 79329-6181 | 2019-02-20 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1174032007 | Melissa Martin | Counselor | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2017-09-22 |
| 1265891097 | Melissa A Martin | Counselor | 318 E Mitchell St Ste 7, Petoskey, MI 49770-2616 | 2016-02-22 |
| 1992161244 | Melissa Diane Martin | Nurse Practitioner | 10050 Great Hills Trl, #1213, Austin, TX 78759-5938 | 2015-12-31 |
| 1346526688 | Melissa Dawn Martin | Respiratory Therapist, Certified | 13735 Willow Wind Dr, De Soto, MO 63020-4383 | 2011-11-01 |
| 1497064711 | Melissa Hall Martin | Occupational Therapist | 159 Tutty Loop, Houma, LA 70363-3839 | 2010-10-04 |
| 1326355256 | Melissa Kristen Martin | Occupational Therapist | 20 Raymond Ave, Cortland, NY 13045-3322 | 2010-09-14 |
| 1285873828 | Melissa Snodgrass Martin | Contractor | 8626 W Parker St, Richland, IN 47634-9030 | 2009-02-04 |
| Street Address |
1700 S BROAD ST SUITE #301 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1073866760 | Heather Medica | Nurse Practitioner | 1700 S Broad St, Unit 201, Philadelphia, PA 19145-2315 | 2012-10-18 |
| 1902164312 | Billie S Schwartz | Counselor | 1700 S Broad St, Suite 301, Philadelphia, PA 19145-2315 | 2012-04-24 |
| 1457617474 | Kymberly Marie Gonzalez | Pediatrics | 1700 S Broad St, Suite 301, Philadelphia, PA 19145-2315 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| 1417271818 | Christopher James Mammola | Physical Therapy Assistant | 1413 W. Moyamensing Ave., Philadelphia, PA 19145 | 2010-03-15 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| 1245799337 | Jerry Martin Kaplan | Pediatrics | 2421 Fairmount Ave, Philadelphia, PA 19130-2517 | 2019-03-18 |
| 1992299861 | Gayathri Prabhakar | Pediatrics | 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 | 2018-06-14 |
| 1992298004 | Daniel Rappoport | Pediatrics | 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 | 2018-06-13 |
| 1376069567 | Childrens Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 | 2017-08-18 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1891225694 | Joshua Hruby Sperling | Pediatrics | 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2017-06-14 |
| 1124558911 | Salvatore Charles Rametta | Pediatrics | 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2017-06-14 |
| 1922536952 | Alyssa Coffin | Pediatrics | 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 | 2017-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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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.