MRS. EVAN KELLER MARTIN (NPI# 1134469265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134469265 |
| Entity Type | Individual |
| Full Name | MRS. EVAN KELLER MARTIN |
| Credential | PA-C |
| Practice Address |
1037 Conneaut Ave Suite 201 Bowling Green OH 43402-5301 |
| Practice Telephone | 4193736046 |
| Practice Fax Number | 4193529048 |
| Mailing Telephone | 4193736046 |
| Mailing Fax Number | 4193529048 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.001611 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830563 | Evan Martin | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-06-13 |
| 1841720190 | Evan Gil Martin | Family Medicine | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 | 2017-06-19 |
| Street Address |
1037 CONNEAUT AVE SUITE 201 |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225091846 | Dca of Toledo LLC | Clinic/Center | 1037 Conneaut Ave, Bowling Green, OH 43402-5302 | 2006-04-07 |
| 1518319607 | Andrea Rae Barnette | Nurse Practitioner | 1037 Conneaut Ave, Bowling Green, OH 43402-5301 | 2016-07-12 |
| 1285913939 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 1037 Conneaut Ave, Suite 202, Bowling Green, OH 43402-5301 | 2011-08-12 |
| 1790939924 | Cheryl Ann Jacobs | Nurse Practitioner | 1037 Conneaut Ave, Suite 203, Bowling Green, OH 43402-5301 | 2008-11-14 |
| 1538337480 | Dillon Dermatology LLC | Dermatology | 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 | 2008-02-13 |
| 1013093574 | William I Dillon | Dermatology | 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 | 2006-10-27 |
| 1851331516 | David Wayne Bell | Family Medicine | 1037 Conneaut Ave, Suite 206, Bowling Green, OH 43402-5301 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417100 | Samantha Tollerud | Physician Assistant | 8320 Middleton Pike, Bowling Green, OH 43402-9639 | 2020-04-28 |
| 1881247922 | Hayley Richardson Sechler | Physician Assistant | 1818 Wallace Ct Ste 301, Bowling Green, KY 42103-2462 | 2019-07-18 |
| 1568493823 | Amy E Etsell | Physician Assistant | 905 Highway 161, Bowling Green, MO 63334-2431 | 2006-07-05 |
| 1730186057 | Belinda A Heywood | Physician Assistant | 838 E Wooster St, Bowling Green, OH 43402-3186 | 2005-07-01 |
| 1295364982 | Sara Vodde | Physician Assistant | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2020-04-03 |
| 1902370232 | Wil Casper Norviel | Physician Assistant | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2019-01-21 |
| 1982177457 | Rachael Katherine Grant | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-08 |
| 1942781000 | Nayab I. Hussain | Physician Assistant | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2018-08-27 |
| 1003311036 | Leslie Pemberton | Physician Assistant | 1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 | 2018-03-30 |
| 1336649680 | Rachel Marklin | Physician Assistant | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2018-02-13 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on MRS. EVAN KELLER MARTIN.
| 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.