DAVID MICHAEL MARTIN (NPI# 1245290279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245290279 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL MARTIN |
| Credential | MD |
| Practice Address |
34 Upper Riverdale Road Suite 201 Riverdale GA 30274 |
| Practice Telephone | 6789040094 |
| Practice Fax Number | 6789040098 |
| Mailing Telephone | 6789040094 |
| Mailing Fax Number | 6789040098 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
021757 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00285062A1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529688 | David Andrew Martin | Contractor | 15310 Cr T.37, La Jara, CO 81140 | 2018-05-22 |
| 1215441811 | David Robert Martin | Peer Specialist | 313 E Edwards St Apt B5, Edmond, OK 73034-4597 | 2017-11-20 |
| 1518340298 | David Martin | Counselor | 2082 S Stonyfield Pl, Boise, ID 83709-5508 | 2015-06-30 |
| 1982954376 | David Eugene Martin | Nurse Practitioner | 2145 Stonecrest Path, New Braunfels, TX 78130-9414 | 2012-09-13 |
| 1245585413 | David William Martin Jr. | Internal Medicine | 300 Utah Ave, Suite 150, South San Francisco, CA 94080-6800 | 2012-07-13 |
| 1437469483 | David Emory Martin | Dentist | 2911 A W Grimes Blvd, Ste. 106, Pflugerville, TX 78660-5458 | 2010-10-08 |
| 1427375989 | David L Martin | Pharmacist | 64 N Mercer Ave, Sharpsville, PA 16150-2234 | 2010-04-23 |
| 1669646865 | David Walker Martin | Mechanotherapist | 5615m Jackson Street Ext Ste 102, Alexandria, LA 71303-2274 | 2008-04-17 |
| 1831362060 | David A Martin | Licensed Practical Nurse | 1394 E Bristol Rd, Flint, MI 48529-2212 | 2008-04-09 |
| 1376711093 | David Joseph Martin | Dentist | 938 Dewing Ave, Suite 2, Lafayette, CA 94549-4271 | 2008-02-15 |
| Street Address |
34 UPPER RIVERDALE ROAD SUITE 201 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982940797 | Vickie H Browne | Nurse Practitioner | 34 Upper Riverdale Road, Suite 201, Riverdale, GA 30274 | 2012-12-26 |
| 1952341547 | Am-med, Inc | Clinic/Center | 34 Upper Riverdale Road, Suite 102, Riverdale, GA 30274 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1043726821 | Gi Endoscopy Practice LLC | Internal Medicine | 44 State Rt 23 Ste 7, Riverdale, NJ 07457-1603 | 2017-12-15 |
| 1740379866 | Ralph Cornell Lyons | Internal Medicine | 34 Upper Riverdale Rd, Suite 201, Riverdale, GA 30274-2635 | 2006-10-12 |
| 1568559425 | Hector H Lopez Jr. | Internal Medicine | 6564 Professional Pl, Suite B, Riverdale, GA 30274-2520 | 2006-10-10 |
| 1467489120 | Gregory Gibson | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2006-06-27 |
| 1497962724 | Bharat Dasani, Md | Internal Medicine | 51 Route 23 South, Riverdale, NJ 07457 | 2007-05-17 |
| 1821142514 | Ghulam Mohi-ud-din | Internal Medicine | 6510 Kenilworth Ave, Suite 2600, Riverdale, MD 20737-1339 | 2007-01-22 |
| 1851457741 | Atlanta Multi-specialty Associates, PC | Internal Medicine | 6564 Professional Pl, Suite B, Riverdale, GA 30274-2520 | 2006-12-28 |
| 1073698049 | Bharat Dasani | Internal Medicine | 44 Route 23 North, Suite 7, Riverdale, NJ 07457 | 2006-10-26 |
| 1942303276 | Michael Cheng | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-4903 | 2006-09-05 |
| 1003846635 | Jay R Prakash | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2006-07-03 |
| Find all providers in RIVERDALE | ||||
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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.