MARTIN FAMILY HEALTHCARE LLC. (NPI# 1295985992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295985992 |
| Entity Type | Organization |
| Organization Name | MARTIN FAMILY HEALTHCARE LLC. |
| Practice Address |
120 Market St. Red Boiling Springs TN 37150 |
| Mailing Address |
P.o. Box 425 Red Boiling Springs TN 37150 |
| Practice Telephone | 6156994035 |
| Practice Fax Number | 6156994055 |
| Mailing Telephone | 6156994035 |
| Mailing Fax Number | 6156994055 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | MRS. ANDREA L. MARTIN (PHYSICIAN ASST./OWNER) |
| Authorized Official Telephone | 6156994035 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0000001100 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 MARKET ST. |
| City | RED BOILING SPRINGS |
| State | TN |
| Zip Code | 37150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669533345 | Lanny R Hudson | Pharmacist | 126 Market Street, Red Boiling Springs, TN 37150 | 2006-12-13 |
| 1467483164 | Edna Lynn Woodard | Nurse Practitioner | 165 Dale Street, Red Boiling Springs, TN 37150 | 2006-07-05 |
| 1033269576 | Carolyn Virginia Whitaker | Nurse Practitioner | 718 Lafayette Rd, Red Boiling Springs, TN 37150-2021 | 2007-01-10 |
| 1619185428 | Frank T Rutherford Memorial Hospital, Inc | Clinic/Center | 718 Lafayette Rd, Red Boiling Springs, TN 37150-2021 | 2007-05-18 |
| 1255983946 | Shalena Natasha Bray | Nurse Practitioner | 35 Spivey St, Red Boiling Springs, TN 37150-2078 | 2019-07-12 |
| 1750906335 | Bray Family Health and Wellness, LLC | Nurse Practitioner | 35 Spivey St, Red Boiling Springs, TN 37150-2078 | 2020-06-10 |
| 1174160006 | R-evolution Health | Family Medicine | 165 Dale St, Red Boiling Springs, TN 37150-2102 | 2019-12-10 |
| 1508488800 | 3 Ple O LLPc | Family Medicine | 165 Dale St, Red Boiling Springs, TN 37150-2102 | 2020-05-11 |
| 1114571627 | Red Boiling Springs Tn Opco LLC | Respite Care | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2019-08-01 |
| 1376106351 | Macon Care Center LLC | Skilled Nursing Facility | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2019-04-16 |
| Find all providers in zip 37150 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | RED BOILING SPRINGS |
| Zip Code | 37150 |
Please comment or provide details below to improve the information on MARTIN FAMILY HEALTHCARE LLC..
| 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.