PROF. WAYNE ROBERT MARTIN (NPI# 1104867621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104867621 |
Entity Type | Individual |
Full Name | PROF. WAYNE ROBERT MARTIN |
Credential | MD |
Practice Address |
3 Coyote Trl Boulder MT 59632-7644 |
Mailing Address |
Po Box 1151 Boulder MT 59632-1151 |
Practice Telephone | 7018800826 |
Mailing Telephone | 7018800826 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-04-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 4222 | AZ | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | 7466 | MT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 8V4761 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871716621 | Wayne A Martin | Dentist | 202 Union Street, Ste 3, Titusville, PA 16354 | 2007-04-10 |
1912008673 | Wayne T Martin | Dentist | 245 Clubhouse Dr, Gulf Shores, AL 36542-3415 | 2006-09-26 |
1689647620 | Wayne Lee Martin | Optometrist | 1811 Ygnacio Valley Rd, Walnut Creek, CA 94598-3214 | 2006-02-09 |
1487634424 | Wayne Martin | Nurse Practitioner | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2006-01-17 |
1396284402 | Wayne Martin | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2017-02-22 |
1215327374 | Wayne Martin | Social Worker | 2501 Parkview Dr, Suite 304, Fort Worth, TX 76102-5824 | 2015-01-28 |
1861674442 | Wayne Frederick Martin | Psychologist | 7400 Merton Minter St, Psychology Service, San Antonio, TX 78229-4404 | 2007-12-05 |
1033293261 | Wayne Hamilton Martin | Ophthalmology | 1111 Grand Ave, Suite A, Diamond Bar, CA 91765-4171 | 2006-10-24 |
1962450577 | Wayne L. Martin | Emergency Medicine | 29 L V Stabler Dr, Greenville, AL 36037-3850 | 2006-05-05 |
1356312789 | Wayne A. (initial Only) Martin | Social Worker | 620 John Paul Jones Cir, Outpatient Psychiatry Clinic, Nmcp, Portsmouth, VA 23708-2111 | 2006-02-01 |
Street Address |
3 COYOTE TRL |
City | BOULDER |
State | MT |
Zip Code | 59632-7644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
1487029336 | Kristin Nicole Fearon | Social Worker | 105 Venture Way, Boulder, MT 59632 | 2015-12-03 |
1790171494 | Kayla M. Beadle-reinhardt | Social Worker | 105 Venture Ave, Boulder, MT 59632 | 2015-04-09 |
1750404661 | Alliance Outreach Services | Clinic/Center | 512 Capital Heights Dr, Boulder, MT 59632 | 2007-04-06 |
1760504310 | Jeni E Leary | Social Worker | 40 Hanging Wall Road, Boulder, MT 59632 | 2007-04-04 |
1770080426 | Jessica Nicole Cole | Counselor | 105 Venture Way, Boulder, MT 59632 | 2018-04-10 |
1679097638 | Amy Sue Braaksma | Nurse Practitioner | 214 S. Main St., Boulder, MT 59632 | 2017-08-01 |
1316353105 | Veronica J Champer | Nurse Practitioner | 214 South Main Street, Boulder, MT 59632 | 2014-07-01 |
1891830931 | Vermon Craig Barney | Dentist | 211 North Main, Boulder, MT 59632 | 2007-02-20 |
1588722383 | Jefferson County Health Department | Public Health or Welfare | 214 South Main Street, Boulder, MT 59632 | 2006-12-05 |
Find all providers in zip 59632 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
1548634165 | Paladina Health, LLC | Family Medicine | 2880 Folsom St Ste 104, Boulder, CO 80304-3769 | 2015-11-19 |
1922407170 | Carolyn Tabak | Family Medicine | 844 Iris Ave, Boulder, CO 80304-1758 | 2014-08-13 |
1841602976 | Charles Leo Steinberg | Family Medicine | 3014 Jefferson St, Boulder, CO 80304-2638 | 2014-05-23 |
1801224027 | Jeffrey I Birn | Family Medicine | 649 Quince Cir, Boulder, CO 80304-1030 | 2013-10-25 |
1669811683 | Joshua Avram Garfein | Family Medicine | 2995 Baseline Rd Ste 210, Boulder, CO 80303-2318 | 2013-06-24 |
1477882884 | Barry Benjamin Bialek | Family Medicine | 1010 Poplar Ave, Boulder, CO 80304-0747 | 2009-12-14 |
1669705042 | Boulder Peak Family Practice, Inc. | Family Medicine | 5330 Manhattan Cir # C-2, Boulder, CO 80303-4240 | 2009-09-16 |
1396990719 | William Jia Gottlieb | Family Medicine | 331 Maxwell Ave, Boulder, CO 80304-3972 | 2008-11-26 |
1922264175 | Jason Wells Glowney | Family Medicine | 4745 Arapahoe Ave Ste 300, Boulder, CO 80303-1292 | 2008-08-06 |
Find all providers in BOULDER |
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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.