DR. WILLIAM EDWARD MARTIN (NPI# 1275760621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275760621 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM EDWARD MARTIN |
| Credential | M.D. |
| Practice Address |
2200 Berquist Drive, Suite 1 Whmc/gme Lackland Afb TX 78236-5300 |
| Practice Telephone | 2102927626 |
| Mailing Telephone | 2102927626 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD0000057970 | TN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 33507 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N State of Franklin Rd, Johnson City, TN 376046035 | 4234316111 | 4234312910 |
| 300 Medtech Parkway, Johnson City, TN 37604 | 4233021000 | 4233021237 |
| 1501 W Elk Ave, Elizabethton, TN 376432854 | 4235421300 | 4235435372 |
| 2000 Brookside Dr, Kingsport, TN 376604627 | 4238577000 | 4233927557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426677 | William Martin | Technician | 20 Jada Dr, Beverly, WV 26253-1304 | 2020-08-07 |
| 1831619154 | William John Martin | Speech-Language Pathologist | 703 Boggs Avenue, Apt. 3, Pittsburgh, PA 15211 | 2017-06-27 |
| 1023460631 | William Frederick Martin IIi | Chiropractor | 11136 S Silversmith Cir, Sandy, UT 84094-6910 | 2016-07-07 |
| 1104217207 | William Martin | Specialist/Technologist | 4186 E Blue Sage Rd, Gilbert, AZ 85297-4934 | 2015-02-10 |
| 1457619074 | William P. Martin | Emergency Medicine | 1279 E Regatta St, Boise, ID 83706-6349 | 2012-05-02 |
| 1003181231 | William Martin | Ophthalmology | 8 Mooregate Sq Nw, Atlanta, GA 30327-1539 | 2012-03-21 |
| 1598907370 | William Bruce Martin | Social Worker | 8880 Cypress Gate Drive, Dayton, OH 45424-6413 | 2009-03-25 |
| 1083863849 | William Martin | Dentist | 1717 S Union Ave, Tacoma, WA 98405-1997 | 2008-09-16 |
| 1518113125 | William Walker Martin | Dentist | 4935 Boonsboro Rd, Suite B, Lynchburg, VA 24503-2200 | 2008-08-14 |
| 1043416431 | William Lee Martin | Psychologist | 6901 Orchard Rd, Ocean Springs, MS 39564-2666 | 2007-06-22 |
| Street Address |
2200 BERQUIST DRIVE, SUITE 1 WHMC/GME |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568440642 | Sharon R. Bannister | Dentist | 2200 Berquist Drive, Suite 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-5300 | 2006-01-09 |
| 1669444964 | Richard E. Rutledge | Dentist | 2200 Berquist Drive, Suite 1, Lackland Afb, TX 78236-5300 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| 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 |
|---|---|---|---|---|
| 1073710620 | Christopher Tremayne Martinez | Emergency Medicine | Whmc Ge 2200 Berquist Drive, Ste 1, Lackland Afb, TX 78236 | 2007-06-28 |
| 1043290935 | Jeffrey Don Mcneil | Emergency Medicine | 2200 Bergquist Drive, Suite 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-5300 | 2006-01-18 |
| 1568754729 | Matthew J Streitz | Emergency Medicine | 1100 Wilford Hall Loop Ste 1, Lackland Afb, TX 78236-5638 | 2011-05-06 |
| 1962729939 | Jeffrey D Morgan | Emergency Medicine | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 | 2010-04-29 |
| 1578723144 | Bronwyn Louis Young II | Emergency Medicine | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2008-06-16 |
| 1639127087 | Annette Lynn Williams | Emergency Medicine | 2200 Bergquist Dr Ste 1, 59 Mdw/cmc, Lackland Afb, TX 78236 | 2006-05-05 |
| 1104816362 | Jeremiah J Johnson | Emergency Medicine | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1841807526 | Talo Medical Management, LLC | Emergency Medicine | 4190 Fm 2933, Mckinney, TX 75071-0352 | 2020-09-28 |
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1467070698 | Emer Rowlett Physicians, Pllc | Emergency Medicine | 3301 Lakeview Pkwy, Rowlett, TX 75088-3321 | 2020-07-14 |
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720604937 | Summit Emergency Medicine Pllc | Emergency Medicine | 606 Grapevine Hwy Ste Abc, Hurst, TX 76054-2758 | 2020-06-23 |
| 1669097382 | Star Ed Pllc | Emergency Medicine | 4617 Saint Clair Ct, Flower Mound, TX 75022-1041 | 2020-06-09 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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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.