FREDERIC GREGORY MARTINEZ (NPI# 1295968956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295968956 |
| Entity Type | Individual |
| Full Name | FREDERIC GREGORY MARTINEZ |
| Credential | CERTIFIED SURGICAL A |
| Practice Address |
6400 Goldsboro Rd. Suite 400 Bethesda MD 20817-5846 |
| Practice Telephone | 3012630800 |
| Practice Fax Number | 3012630820 |
| Mailing Telephone | 3012630800 |
| Mailing Fax Number | 3012630820 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2886 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6400 GOLDSBORO RD. SUITE 400 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1497069249 | Anthony Faugeres Emmanuel | Physician Assistant | 6400 Goldsboro Road Suite 400, Massachusetts Ave Surgery Center, Bethesda, MD 20817 | 2010-08-04 |
| 1962734814 | Chevy Chase Surgical Partners LLC | Physician Assistant | 6430 Rockledge Dr Ste 510, Bethesda, MD 20817-7893 | 2010-02-03 |
| 1497380968 | Embriel LLC | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2020-03-05 |
| 1699231563 | Samora Charles Lungu | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-02-15 |
| 1346749900 | Alessandra Fitzpatrick | Physician Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2018-02-08 |
| 1144673443 | Lara Lindgren | Physician Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2016-07-21 |
| 1518352442 | Przemyslaw Krzyzanowski | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2015-03-30 |
| 1003256942 | Jonathan Michael Hjort | Physician Assistant | 6400 Goldsboro Rd, Suite 400, Bethesda, MD 20817-5826 | 2013-06-25 |
| 1053651711 | Rachel N Dhyani | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2013-02-18 |
| Find all providers in BETHESDA | ||||
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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.