MARTIN SURGICAL ASSOCIATES LLC (NPI# 1104897008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104897008 |
| Entity Type | Organization |
| Organization Name | MARTIN SURGICAL ASSOCIATES LLC |
| Practice Address |
8940 Kingsridge Drive Suite 105 Dayton OH 45458 |
| Practice Telephone | 9374394178 |
| Practice Fax Number | 9374394740 |
| Mailing Telephone | 9374394178 |
| Mailing Fax Number | 9374394740 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | MR. DERRICK J MARTIN SR. (PRESIDENT) |
| Authorized Official Telephone | 9374394178 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000189411 | 01 |
| OH | 0803330 | 05 | |
| OH | CHOICECARE | D60556 | 01 |
| Street Address |
8940 KINGSRIDGE DRIVE SUITE 105 |
| City | DAYTON |
| State | OH |
| Zip Code | 45458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1245659630 | Benjamin Bates | Surgery | 10 Garret St, Dayton, OH 45410-1226 | 2014-04-14 |
| 1962825216 | Ronald A Buczek II | Surgery | 165 S. Edwin C. Moses Blvd, Dayton, OH 45402 | 2014-01-22 |
| 1730335241 | Benjamin Edward Kellogg | Surgery | 301 White Oak Rd, Dayton, TN 37321-2530 | 2008-08-15 |
| 1619131422 | Eugene A. Hagan | Surgery | 701 Hathaway Rd, Dayton, OH 45419-3549 | 2008-07-11 |
| 1881809366 | Ayesha Ayene Thomas | Surgery | One Wyoming Street, Suite 7000, Wche, Dayton, OH 45409 | 2007-05-10 |
| 1568682490 | Garietta Falls | Surgery | 30 E Apple St Ste 5253, Dayton, OH 45409-2939 | 2007-04-25 |
| 1053490417 | Craig Steven Swafford | Surgery | 9390 Rhea County Highway, Dayton, TN 37321 | 2006-11-04 |
| 1881777811 | John Scott Wilcher | Surgery | 7111 North Main St, Ste 60, Dayton, OH 45415-2558 | 2006-10-23 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on MARTIN SURGICAL ASSOCIATES LLC.
| 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.