PROF. WAYNE ROBERT MARTIN


Address: 3 Coyote Trl, Boulder, MT 59632-7644
Phone: 7018800826

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 8V4761 01

Other Providers WAYNE MARTIN

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

Office Location

Street Address 3 COYOTE TRL
City BOULDER
State MT
Zip Code 59632-7644

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BOULDER
Zip Code 59632

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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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