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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G551460 | 05 |
| Street Address |
5 MEDICAL PLAZA DR SUITE 190 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2865 |
| 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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| 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 Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| 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. |
| 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 |
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| 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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| 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.