ALFONSO J MARTINEZ MD LLC (NPI# 1275098972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275098972 |
| Entity Type | Organization |
| Organization Name | ALFONSO J MARTINEZ MD LLC |
| Practice Address |
19600 E 39th St S Independence MO 64057-2301 |
| Mailing Address |
Po Box 1189 Independence MO 64051-0689 |
| Practice Telephone | 8164256084 |
| Practice Fax Number | 8168731121 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | DR. ALFONSO MARTINEZ (OWNER) |
| Authorized Official Telephone | 8163099538 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
19600 E 39TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
| 1710511357 | Kyle James Koerner | Chiropractor | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-02-22 |
| 1306477096 | Kelsie Rhea Town | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-31 |
| 1669002515 | Charleen Brianne Sims | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-20 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| 1811481153 | Kimberly Harris | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2018-06-20 |
| 1821522186 | Rachel Anne Mcdonald | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-13 |
| 1326572876 | Joseph Sayegh | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-11 |
| 1144752767 | Erin Waldron | Registered Nurse | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-02 |
| 1346788247 | Alison Marsh | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1194000380 | Carol Ann Salewski | Internal Medicine | 4804 Hickory Nut Ln, Independence, OH 44131-4640 | 2011-10-19 |
| 1649598061 | Kathryn Elizabeth Richards | Internal Medicine | Center for Connected Care, 6801 Brecksville Rd, Suite 10/rk30, Independence, OH 44131 | 2010-05-10 |
| 1770719346 | Jayasheel Onesimus Eshcol | Internal Medicine | 19550 E 39th St S Ste 215, Independence, MO 64057 | 2009-06-09 |
| 1720268410 | Jinu Thomas | Internal Medicine | 19600 E 39th St., Independence, MO 64057-2301 | 2007-11-09 |
| 1043426844 | Robert E. Crook | Internal Medicine | 6801 Brecksville Rd # Rk30, Independence, OH 44131-5032 | 2007-05-16 |
| 1841333440 | Aruna Rokkam | Internal Medicine | 3889 S Jackson Dr, Independence, MO 64057-1927 | 2007-02-14 |
| 1962580258 | Mohammad A Tulimat | Internal Medicine | 2025 Declaration Dr, Independence, KY 41051-7983 | 2006-11-02 |
| 1982799185 | Mark Kofi Kyei | Internal Medicine | 6100 W Creek Rd, Independence, OH 44131-2177 | 2006-10-04 |
| 1891719985 | Charles Raymond Genovese Jr. | Internal Medicine | 312 East Railroad Avenue, Independence, LA 70443 | 2006-07-26 |
| 1366465817 | Melissa J Mcintosh | Internal Medicine | 510 Peter Pan Rd, Independence, KS 67301-7300 | 2006-07-25 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.