W RANDY MARTIN


Address: 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2865
Phone: 9167867498

W RANDY MARTIN (NPI# 1174566566) 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) 1174566566
Entity Type Individual
Full Name W RANDY MARTIN
Other Name WALTER RANDOLPH MARTIN
Credential M.D.
Practice Address 5 Medical Plaza Dr
Suite 190
Roseville
CA 95661-2865
Mailing Address 3637 Mission Ave
Suite 7
Carmichael
CA 95608-2946
Practice Telephone 9167867498
Practice Fax Number 9167862715
Mailing Telephone 9167867498
Mailing Fax Number 9167862715
Enumeration Date 2006-06-14
Last Update Date 2013-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
G55146 CA Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
G55146 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G551460 05

Office Location

Street Address 5 MEDICAL PLAZA DR
SUITE 190
City ROSEVILLE
State CA
Zip Code 95661-2865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841267960 Denise Lora Sweeney Obstetrics & Gynecology 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 2006-03-07
1114323912 Rhonda Lynn Lee Nurse Practitioner 5 Medical Plaza Dr, #210, Roseville, CA 95661-2865 2014-11-06
1184965725 Mark Drake Podiatrist 5 Medical Plaza Dr, 110, Roseville, CA 95661-2865 2013-03-06
1043579808 Dennis Idowu Obstetrics & Gynecology 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 2012-05-14
1811262348 Wellspace Health Clinic/Center 5 Medical Plaza Dr, Suite 170, Roseville, CA 95661-2865 2012-03-16
1164796546 Lorna Adolfo, A Professional Medical Corporation Internal Medicine 5 Medical Plaza Dr, Ste# 110, Roseville, CA 95661-2865 2012-03-01
1073884045 Vitreo-retinal Medical Group, Inc Ophthalmology 5 Medical Plaza Dr, Suite 180, Roseville, CA 95661-2865 2012-01-23
1801114988 Brian Michael Bellucci Internal Medicine 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2865 2010-05-13
1871822072 Roseville Urology, Inc. Urology 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 2009-12-17
1750526083 Radiological Associates of Sacramento Medical Group Inc Radiology 5 Medical Plaza Dr, 130, Roseville, CA 95661-2865 2008-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134777816 Aprildawn Mccarty Mccarty Behavior Technician 2125 Professional Dr, 100, Roseville, CA 95661 2019-08-27
1407409089 David Armel Gomez Croddy Dentist 2740 Carradale Drive, Roseville, CA 95661 2019-07-22
1699335612 Mowell Durable Medical Equipment & Medical Supplies 901 Sunrise, Roseville, CA 95661 2019-06-20
1578024998 Mystesia Lasan Hayes Behavior Technician 4121 Vittorio Dr., Roseville, CA 95661 2019-03-28
1033676457 The Place Within Counselor 720 Sunrise Ave #d115, Roseville, CO 95661 2019-02-21
1396217733 Tuyen Thi Thanh Nguyen Respiratory Therapist, Registered Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 2018-12-26
1982179776 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 1565 Eureka Road, Suite 5, Roseville, CA 95661 2018-10-08
1184106536 Sabita Kondle Marriage & Family Therapist 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 2018-09-02
1740787837 Sylvia A Atieno Nurse Practitioner Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 2018-04-06
1457875296 Good Works Psychophysiology and Physical Therapy Physical Therapist 1650 Leadhill Blvd, 600, Roseville, CA 95661 2017-08-02
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740246222 William Dominic Hanna Internal Medicine 25869 Kelly, Ste C, Roseville, MI 48066 2006-04-25
1558541524 William D Hanna Md PC Internal Medicine 25869 Kelly Rd, Suite C, Roseville, MI 48066-4997 2007-11-07
1871531590 Shawn Aghili Internal Medicine 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2865 2006-06-03
1710924188 Mark William Lischner Internal Medicine 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2865 2006-06-02
1043290232 Robert Lewis Marchese Internal Medicine 25810 Kelly Rd, Suite 3, Roseville, MI 48066-4467 2006-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184221137 Newport Superior Medical & Infusion Inc Internal Medicine 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 2020-10-02
1205472339 Christian Gronbeck IIi Internal Medicine 37 E Mission Ave, San Rafael, CA 94901-4208 2019-11-25
1497304497 Ralph Zitnik Internal Medicine 606 E Valerio St, Santa Barbara, CA 93103-1954 2019-09-11
1578118295 Adventist Health Physicians Network Internal Medicine 1231 W Vine St Ste 19, Lodi, CA 95240-5109 2019-08-08
1063079176 Kasra Sedarati M.d. Inc. Internal Medicine 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 2019-05-23
1124586367 Coast Concierge Medicine Inc Internal Medicine 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 2019-03-06
1801373352 Antelope Valley Lung & Sleep Institute, Inc Internal Medicine 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 2018-07-26
1659864338 Orange County Respiratory Physicians Corp Internal Medicine 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 2018-06-07
1841780301 San Joaquin Critical Care Medical Group, Inc. Internal Medicine 1801 E March Ln Ste C300, Stockton, CA 95210-6657 2018-05-10
1912408691 Northern California Medical Assoc Internal Medicine 2315 Dean St, Eureka, CA 95501-3208 2018-02-27
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Competitor

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City ROSEVILLE
Zip Code 95661

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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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