SAM MARTIN


Address: 2025 S Brentwood Blvd, Suite 200, Brentwood, MO 63144-1833
Phone: 3149181688

SAM MARTIN (NPI# 1154376788) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
2005010629 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 207302605 05

Other Providers SAM MARTIN

NPI Name Taxonomy Address Enumeration
1023268943 Sam Luke Martin Pharmacist 160 St Thomas Pl, Bogart, GA 30622-5150 2008-09-28

Office Location

Street Address 2025 S BRENTWOOD BLVD
SUITE 200
City BRENTWOOD
State MO
Zip Code 63144-1833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730483041 Carol Riegler Boshart Social Worker 2025 S Brentwood Blvd, Suite 200, Brentwood, MO 63144-1833 2010-12-29

Providers in the same zip code

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 Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City BRENTWOOD
Zip Code 63144

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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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