SUSAN MARTIN (NPI# 1235168550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235168550 |
| Entity Type | Individual |
| Full Name | SUSAN MARTIN |
| Credential | ATC |
| Practice Address |
5600 Oakland Ave Saint Louis MO 63110-1316 |
| Mailing Address |
4333 Bordeaux Dr Saint Louis MO 63129-3811 |
| Practice Telephone | 3146449278 |
| Mailing Telephone | 3148923339 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397529 | Susan Martin | Counselor | 245 Farm Trak, Roswell, GA 30075-4218 | 2019-07-08 |
| 1851856827 | Susan B Martin | Registered Nurse | 8030 Resurrection Dr, Anchorage, AK 99504-4731 | 2019-02-04 |
| 1669846572 | Susan Denise Martin | Counselor | 160 Saratoga Ave Ste 290, Santa Clara, CA 95051-7334 | 2015-11-17 |
| 1992075758 | Susan Marie Martin | Occupational Therapy Assistant | 209 Joseph Ct, #5, Neenah, WI 54956-6415 | 2012-01-10 |
| 1932480308 | Susan Martin | Pharmacist | 6838 N Loron Ave, Chicago, IL 60646-1414 | 2011-08-30 |
| 1124344668 | Susan Martin | Registered Nurse | 518 Morris St, Ogdensburg, NY 13669-2730 | 2010-04-08 |
| 1124261102 | Susan Lynn Martin | Counselor | 2277 Swanson Ave., Suite B, Lake Havasu City, AZ 86403 | 2009-04-07 |
| 1508998980 | Susan Jill Martin | Pharmacist | 200 Hoff Rd Unit B, Westerville, OH 43082-7154 | 2007-03-12 |
| 1154453637 | Susan Carol Martin | Marriage & Family Therapist | 2130 50th Ave, Oakland, CA 94601-5435 | 2007-03-11 |
| 1184791618 | Susan M Martin | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2006-11-29 |
| Street Address |
5600 OAKLAND AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417166000 | Mary Hagan Burke | Dentist | 5600 Oakland Ave, Dental Hygiene St Louis Community College-forest Park, Saint Louis, MO 63110-1393 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1194383943 | Elizabeth Lynch | Specialist/Technologist | 605 Clara Ave Apt 609, Saint Louis, MO 63112-1936 | 2019-06-05 |
| 1063970242 | Abby Hoffman | Specialist/Technologist | 7318 Brunswick Ave, Saint Louis, MO 63119-3329 | 2019-03-07 |
| 1649738824 | Emma C Yonkers | Specialist/Technologist | 4050 W Pine Blvd Apt 3207, Saint Louis, MO 63108-3349 | 2019-03-07 |
| 1386102556 | Justin Durham | Specialist/Technologist | 8425 Engler Ave, Saint Louis, MO 63114-4126 | 2019-03-06 |
| 1538626007 | Justin Ullom | Specialist/Technologist | 1111 Victor St, Saint Louis, MO 63104-4323 | 2019-02-21 |
| 1003373564 | Brian Tyler Leach | Specialist/Technologist | 6120 Wanda Ave, Saint Louis, MO 63116-2225 | 2019-02-20 |
| 1003372566 | Jesse Schmitt | Specialist/Technologist | 3939 W Pine Blvd, Saint Louis, MO 63108-3220 | 2019-02-20 |
| 1326504846 | Breanna Kenney | Specialist/Technologist | 1024 Colebrook Dr, Saint Louis, MO 63119-4757 | 2019-02-20 |
| 1083170518 | Paul Samuel Lamb | Specialist/Technologist | 3805 Lindell Blvd Apt A, Saint Louis, MO 63108-3451 | 2019-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on SUSAN MARTIN.
| 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.