MARK MARTIN (NPI# 1164916805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164916805 |
| Entity Type | Individual |
| Full Name | MARK MARTIN |
| Credential | CDCA.166404 |
| Practice Address |
11811 Shaker Blvd Ste 123 Cleveland OH 44120-1927 |
| Mailing Address |
828 Arboretum Cir Northfield OH 44067-2340 |
| Practice Telephone | 2169656325 |
| Mailing Telephone | 3303487808 |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2018-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.166404 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CDCA.166404 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763004 | Mark Martin | Technician, Other | 3041 S Charlton Park Rd, Hastings, MI 49058-8806 | 2016-11-28 |
| 1295707859 | Mark A Martin | Family Medicine | 2112 Pineshore Ct, Evansville, IN 47711-4473 | 2006-02-07 |
| 1578031860 | Mark Martin | Perfusionist | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2018-11-05 |
| 1073023024 | Mark Martin | Social Worker | 1835 Gilmore Ave, Lakeland, FL 33805 | 2017-10-04 |
| 1952728347 | Mark Martin | Case Manager/Care Coordinator | 3612 Cuming St, Omaha, NE 68131-1952 | 2014-03-24 |
| 1447576103 | Mark J Martin | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2010-04-20 |
| 1346490695 | Mark Martin | Counselor | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2008-09-23 |
| 1982726436 | Mark Blair Martin | Dentist | 910 E Grand Ave, Escondido, CA 92025-3430 | 2007-04-04 |
| 1346300043 | Mark Kevin Martin | Recreation Therapist | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2006-12-11 |
| 1689734097 | Mark R. Martin | Pharmacist | 510 S Elliott St, Pryor, OK 74361-6411 | 2006-12-08 |
| Street Address |
11811 SHAKER BLVD STE 123 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609917855 | Cynthia Miller | Counselor | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2007-02-09 |
| 1083245641 | Lindsay Phillips-goodwin | Case Manager/Care Coordinator | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2020-01-31 |
| 1669975215 | Trina A Kinnebrew | Pathology | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-03-09 |
| 1336641596 | Direct Health Solutions Hr, LLC | Clinical Medical Laboratory | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-03-05 |
| 1376050542 | Proud To Be, Inc | Clinic/Center | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-01-09 |
| 1669989703 | Kc Center for Health and Wellness, LLC | Psychiatry & Neurology | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1699301903 | Deon Bushner | Counselor | 1400 E 55th St, Cleveland, OH 44103-1304 | 2020-03-18 |
| 1043842347 | Karen Hill | Counselor | 11100 Saint Clair Ave Ste 228, Cleveland, OH 44108-1943 | 2020-02-05 |
| 1073143657 | Jeff Ward & Associates LLC | Counselor | 12805 Revere Ave, Cleveland, OH 44105-2959 | 2020-01-22 |
| 1952941858 | Danielle Celeste Yates | Counselor | 18019 Parkmount Ave, Cleveland, OH 44135-4127 | 2020-01-09 |
| 1629618590 | Kinneykares, Inc. | Counselor | 1599 E 40th St, Cleveland, OH 44103-2301 | 2020-01-08 |
| 1962048728 | Reliable Hearts | Counselor | 16001 Holmes Ave, Cleveland, OH 44110-2460 | 2019-11-26 |
| 1154966745 | Edith Davis-fletcher | Counselor | 2400 Greenvale Rd, Cleveland, OH 44121-1116 | 2019-11-07 |
| 1285278283 | Lavetta Louise Jonesprice | Counselor | 3830 E 131st St, Cleveland, OH 44120-4664 | 2019-11-01 |
| Find all providers in CLEVELAND | ||||
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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.