RICARDO MARTINEZ, MD, PC (NPI# 1124009360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124009360 |
| Entity Type | Organization |
| Organization Name | RICARDO MARTINEZ, MD, PC |
| Practice Address |
1201 W Army Trail Blvd Addison IL 60101-3152 |
| Practice Telephone | 6304589200 |
| Practice Fax Number | 6304588460 |
| Mailing Telephone | 6304589200 |
| Mailing Fax Number | 6304588460 |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DR. RICARDO MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 6304589200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036087720 | IL | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | 036087720 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036087720 | 05 | |
| IL | MEDICAR RR | 08143606 | 01 |
| Street Address |
1201 W ARMY TRAIL BLVD |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073954723 | Elmhurst Dental Group, Ltd | Dentist | 1201 W Army Trail Blvd, Suite 2, Addison, IL 60101-3152 | 2013-07-10 |
| 1992922231 | Michael Walter Naborowski | Specialist | 1201 W Army Trail Blvd, Addison, IL 60101-3152 | 2007-04-19 |
| 1033279203 | Kenneth Masayuki Hamada | Dentist | 1201 W Army Trail Blvd, Addison, IL 60101-3152 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| 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 |
|---|---|---|---|---|
| 1043839525 | Heather Hughes | Family Medicine | 15301 Spectrum Dr Ste 330, Addison, TX 75001-6462 | 2020-04-14 |
| 1184041436 | Revathy Nair | Family Medicine | 17101 Dallas Pkwy Ste Dimg, Addison, TX 75001 | 2014-03-25 |
| 1790006203 | Cullman Primary Care, PC | Family Medicine | 16356 Hwy 41 North, Addison, AL 35540 | 2010-06-18 |
| 1225250640 | Terry Matthew James | Family Medicine | 16356 County Road 41, Addison, AL 35540-2416 | 2007-05-03 |
| 1629128319 | Progressive Medical Center Sc | Family Medicine | 414 W Lake Street, Addison, IL 60101 | 2007-01-12 |
| 1891869517 | Shannon B Payseur | Family Medicine | 17051 Dallas Pkwy Ste 250, Addison, TX 75001-7121 | 2006-11-17 |
| 1134210834 | Brian Steven Koecher | Family Medicine | 220 E Lake St, Suite 100, Addison, IL 60101-2887 | 2006-09-27 |
| 1437253846 | Gaertner & Associates Sc | Family Medicine | 501 S Grace St, Addison, IL 60101 | 2006-09-08 |
| 1003853722 | Crisanto G Dimafelix | Family Medicine | 15810 Midway Road, Addison, TX 75001 | 2006-06-01 |
| 1831140797 | Hugo E Dulce | Family Medicine | 580 E Lake Street, Addison, IL 60101 | 2006-05-15 |
| Find all providers in ADDISON | ||||
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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.