DR. MATTHEW L MARTENS (NPI# 1275761603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275761603 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW L MARTENS |
| Credential | D.O. |
| Practice Address |
3700 W 203rd St Suite 202 Olympia Fields IL 60461-1180 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 |
| Practice Telephone | 7086792120 |
| Practice Fax Number | 7085033230 |
| Mailing Telephone | 3175284253 |
| Mailing Fax Number | 3178658319 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 20A10803 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | 203979048 | 01 |
| IL | ILLINOIS | 036129770 | 01 |
| CA | CA MEDICAL LICENSE | 20A10803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467778126 | Matthew Paul Martens | Psychologist | 16 Hill Hall, University of Missouri, Columbia, MO 65211-2130 | 2010-04-20 |
| Street Address |
3700 W 203RD ST SUITE 202 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943848 | Kathryn R Burke | Family Medicine | 3700 W 203rd St, Ste 310, Olympia Fields, IL 60461-1182 | 2005-06-21 |
| 1710347406 | Adina Hattar | Physician Assistant | 3700 W 203rd St, Suite 301, Olympia Fields, IL 60461-1180 | 2016-02-24 |
| 1376960542 | John Tibble | Family Medicine | 3700 W 203rd St, Olympia Fields, IL 60461-1180 | 2014-03-25 |
| 1518399005 | Tiphne Nichelle Sharpe | Nurse Practitioner | 3700 W 203rd St, Olympia Fields, IL 60461-1180 | 2013-08-06 |
| 1043507908 | Kartike Gulati | Otolaryngology | 3700 W 203rd St, Olympia Fields, IL 60461 | 2011-06-29 |
| 1124322680 | St James Hospital United States Catholic Conference | Family Medicine | 3700 W 203rd St, Olympia Fields, IL 60461-1180 | 2010-12-27 |
| 1811141906 | Maureen J Giglio | Nurse Practitioner | 3700 W 203rd St, Suite 201, Olympia Fields, IL 60461-1180 | 2008-11-17 |
| 1194976811 | Catherine Morrin | Audiologist | 3700 W 203rd St, Suite 204, Olympia Fields, IL 60461-1180 | 2008-10-01 |
| 1114085586 | Neela Patel | Pediatrics | 3700 W 203rd St, Suite 201, Olympia Fields, IL 60461-1180 | 2006-12-05 |
| 1851476212 | Daniel E Vera | Surgery | 3700 W 203rd St, Suite 202, Olympia Fields, IL 60461-1180 | 2006-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447883 | Xavier Surgical Care,llc | Surgery | 3700 W 203rd St Ste 202, Olympia Fields, IL 60461-1182 | 2019-09-21 |
| 1043453806 | Sherazuddin Qureshi | Surgery | 20060 Governors Dr, Olympia Fields, IL 60461 | 2009-04-09 |
| 1164672572 | James Van Siatras | Surgery | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2008-09-22 |
| 1851476212 | Daniel E Vera | Surgery | 3700 W 203rd St, Suite 202, Olympia Fields, IL 60461-1180 | 2006-10-26 |
| 1346357795 | Gerald Cahill | Surgery | 3700 W 203rd St Ste 202, Olympia Fields, IL 60461 | 2006-08-23 |
| 1841256492 | Roseanne Krinski | Surgery | 3900 W 203rd St, Olympia Fields, IL 60461-1183 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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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.