SAM MARTIN (NPI# 1154376788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154376788 |
| Entity Type | Individual |
| Full Name | SAM MARTIN |
| Credential | MD |
| Practice Address |
2025 S Brentwood Blvd Suite 200 Brentwood MO 63144-1833 |
| Mailing Address |
7663 Lindbergh Dr Richmond Heights MO 63117-2137 |
| Practice Telephone | 3149181688 |
| Practice Fax Number | 8442724251 |
| Mailing Telephone | 3147436402 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2005010629 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207302605 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023268943 | Sam Luke Martin | Pharmacist | 160 St Thomas Pl, Bogart, GA 30622-5150 | 2008-09-28 |
| Street Address |
2025 S BRENTWOOD BLVD SUITE 200 |
| City | BRENTWOOD |
| State | MO |
| Zip Code | 63144-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730483041 | Carol Riegler Boshart | Social Worker | 2025 S Brentwood Blvd, Suite 200, Brentwood, MO 63144-1833 | 2010-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896635 | Stl Surgical LLC | Pain Medicine | 12184 Natural Bridge Rd, Bridgeton, MO 63044-2017 | 2017-12-13 |
| 1861832503 | St Louis Neuropathy and Pain Relief Center LLC | Pain Medicine | 10777 Sunset Office Dr Ste 40, Saint Louis, MO 63127-1019 | 2013-06-26 |
| 1326311747 | Greater St. Louis Pain Management, Corp. | Pain Medicine | 11716 Studt Avenue, St. Louis, MO 63141-7018 | 2012-02-15 |
| 1174626840 | Phung T Dang | Pain Medicine | 12414 Stratford Ridge Ct, Saint Louis, MO 63141-6383 | 2006-09-07 |
| 1114034931 | Mahendra Gunapooti | Pain Medicine | 261 Dunn Rd, Florissant, MO 63031-7928 | 2006-08-25 |
| 1669422978 | The Brooks Clinic for Pain Management, Inc. | Pain Medicine | 1730 E Republic Rd, Suite Sa, Springfield, MO 65804-6549 | 2006-05-10 |
| 1578197927 | Surgery Cneters of Missouri | Pain Medicine | 8225 Clayton Rd, Clayton, MO 63117-1107 | 2020-02-25 |
| 1730710369 | Regen Ortho Spine & Pain LLC | Pain Medicine | 60 Business Park Dr Ste A, Troy, MO 63379-2828 | 2020-02-02 |
| 1508363946 | A & N Health Solutions LLC | Pain Medicine | 12607 Olive Blvd, Creve Coeur, MO 63141-6313 | 2018-04-11 |
| 1407384944 | Iprri LLC | Pain Medicine | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2017-05-29 |
| Find all providers with the same taxonomy | ||||
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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.