ALEXIS A MARTIN (NPI# 1164074894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164074894 |
| Entity Type | Individual |
| Full Name | ALEXIS A MARTIN |
| Credential | PA-C |
| Practice Address |
1400 Altamont Ave Schenectady NY 12303-2909 |
| Mailing Address |
616 Mercer St Apt 2 Albany NY 12208-3206 |
| Practice Telephone | 5182649000 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Saratoga Rd Ste 110, Glenville, NY 123024210 | 5182649000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629571823 | Alexis Martin | Counselor | 3455 Centerpoint Dr Ste J, Urbancrest, OH 43123-1498 | 2018-03-14 |
| 1174746259 | Alexis A. Martin | Specialist | 7080 Hollywood Blvd., Suite 804, Los Angeles, CA 90028 | 2007-04-10 |
| 1134745839 | Alexis Martin | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-06-19 |
| 1972082998 | Alexis Martin | Speech-Language Pathologist | 46200 Port St, Plymouth, MI 48170-6048 | 2018-08-09 |
| 1811498116 | Alexis Endora Martin | Social Worker | 3444 Kossuth Ave, Bronx, NY 10467-2410 | 2018-02-22 |
| Street Address |
1400 ALTAMONT AVE |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679681050 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2006-08-27 |
| 1861034969 | Mallory Macdonald | Physician Assistant | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2019-10-10 |
| 1487202404 | Sarah Buhelt | Physician Assistant | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2019-09-03 |
| 1659928521 | Leslie Overocker | Pharmacist | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2019-08-24 |
| 1578069753 | Albany Medical College | Emergency Medicine | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2018-04-05 |
| 1700284072 | Steven Decknick | Pharmacist | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2014-12-18 |
| 1972918852 | Nicholas Vadney | Pharmacist | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2014-06-30 |
| 1689922171 | Rotterdam Dental Associates LLP | Dentist | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2012-08-15 |
| 1427374859 | Diana Frederick | Pharmacist | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2010-04-09 |
| 1407021298 | Mariesa Giso | Pharmacist | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| 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 |
|---|---|---|---|---|
| 1164957072 | Samantha Anne Relyea | Physician Assistant | 1101 Nott St # B5, Schenectady, NY 12308-2425 | 2017-04-28 |
| 1487939872 | Christopher J Bertino | Physician Assistant | 1 River Rd Bldg 43, Schenectady, NY 12345-8309 | 2011-10-17 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1578679338 | Karen A Mcgarry | Physician Assistant | 3757 Carman Rd., Suite 100, Schenectady, NY 12303 | 2006-08-22 |
| 1780626531 | Richard A Butz | Physician Assistant | 1322 Gerling St, Schenectady, NY 12308-1702 | 2006-06-12 |
| 1124022611 | Joseph A Petrosino | Physician Assistant | 2125 River Rd Ste 303, Schenectady, NY 12309-1135 | 2005-06-13 |
| 1356958896 | Kristen Lee Hebert | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2020-09-29 |
| 1285246488 | Perri Clifford | Physician Assistant | 2125 River Rd Ste 303b, Schenectady, NY 12309-1136 | 2020-08-19 |
| 1750927158 | Robert Akey | Physician Assistant | 2125 River Rd Ste 203, Schenectady, NY 12309-1135 | 2019-11-20 |
| 1861034969 | Mallory Macdonald | Physician Assistant | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2019-10-10 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
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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.