DR. TAMMY L. MARTIN (NPI# 1245250331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245250331 |
| Entity Type | Individual |
| Full Name | DR. TAMMY L. MARTIN |
| Credential | M.D. |
| Practice Address |
233 Clarkson Rd Ellisville MO 63011-2219 |
| Mailing Address |
625 S New Ballas Rd Saint Louis MO 63141-8253 |
| Practice Telephone | 6362568644 |
| Mailing Telephone | 3149935454 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R9H77 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | P00700283 | 01 |
| MO | RR MEDICARE | P00333756 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467715342 | Tammy R Martin | Nurse Practitioner | 5441 Aedc Rd, Winchester, TN 37398-4931 | 2012-06-16 |
| 1598329856 | Tammy S Martin | Technician | 698 Bultman Dr, Sumter, SC 29150-2549 | 2019-04-23 |
| 1245706365 | Tammy Martin | Speech-Language Pathologist | 702 N Granite Ave, Granite Falls, WA 98252-8774 | 2018-10-16 |
| 1730607516 | Tammy Sue Martin | Nurse Practitioner | 209 Clover St, Martinsburg, WV 25404-3803 | 2017-08-31 |
| 1295276822 | Tammy A Martin | Counselor | 1404 N Grandview Ave, Odessa, TX 79761 | 2017-03-15 |
| 1962806406 | Tammy Martin | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-10-13 |
| 1619221710 | Tammy Cheri Martin | Counselor | 1705 W Main St, Mesa, AZ 85201-6920 | 2012-10-29 |
| 1437443454 | Tammy Louise Martin | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2011-06-07 |
| 1275778789 | Tammy Martin | Case Manager/Care Coordinator | 1716 W Searcy St, Box 441, Heber Springs, AR 72543-3532 | 2008-12-12 |
| 1982888038 | Tammy Lynn Martin | Speech-Language Pathologist | 2225 Old Emmorton Road, Suite 210, Bel Air, MD 21015 | 2007-12-26 |
| Street Address |
233 CLARKSON RD |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417974080 | Jessee Crane | Family Medicine | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2006-07-17 |
| 1467092783 | Jesse Lee Lawson | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2020-01-15 |
| 1104338268 | Audrey Heath | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2017-10-30 |
| 1336650217 | Sharon Maureen Sweet | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2017-10-18 |
| 1508236555 | Jacob Crust | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2015-10-02 |
| 1639562028 | Anne Wolk | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2015-03-10 |
| 1538575063 | Sherry Lynn Clawson | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2014-07-04 |
| 1740626563 | Joan M Mccourt | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2013-05-20 |
| 1265771208 | Barbara E Pine | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2013-02-12 |
| 1033482195 | Lisa Munch | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2012-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042726 | Elizabeth Lucas | Emergency Medicine | 241 Clarkson Rd, Suite 103, Ellisville, MO 63011-2219 | 2006-12-27 |
| 1255364337 | Joseph Rodney Moring | Emergency Medicine | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-07-09 |
| 1932171600 | Sarah L. Renfert | Emergency Medicine | 225 Clarkson Rd, Ellisville, MO 63011-2278 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
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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.