DR. SANDY MARTIN (NPI# 1316980824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316980824 |
| Entity Type | Individual |
| Full Name | DR. SANDY MARTIN |
| Credential | M.D. |
| Practice Address |
1090 Camelot Cir Naples FL 34119 |
| Mailing Address |
1090 Camelot Cir Naples FL 34119-1308 |
| Practice Telephone | 5617065422 |
| Practice Fax Number | 8882575932 |
| Mailing Telephone | 5617065422 |
| Mailing Fax Number | 8889901670 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 30746 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 93792T | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13641 Metropolis Ave, 102, Fort Myers, FL 339124433 | 2392084408 | 8889901670 |
| Street Address |
1090 CAMELOT CIR |
| City | NAPLES |
| State | FL |
| Zip Code | 34119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
| 1225680317 | Joseph Onorato M.d., P.C. | Dermatology | 13800 Tamiami Trl N, Naples, FL 34110-6201 | 2019-07-10 |
| 1174987259 | John Derek Denigris Iv | Dermatology | 1000 Goodlette Frank Rd Ste 100, Naples, FL 34102-5474 | 2016-04-05 |
| 1306245980 | High Tide Dermatology Center LLC | Dermatology | 221 Harbour Dr, Naples, FL 34103-4027 | 2014-08-19 |
| 1295145100 | Bobbi Georgia Brady | Dermatology | 335 Soll St, Naples, FL 34109-3942 | 2014-04-30 |
| 1861836389 | Brandon Michael Kirsch | Dermatology | 1333 3rd Ave S Ste 501, Naples, FL 34102-6538 | 2013-04-26 |
| 1104006030 | Naples Dermatology Pa | Dermatology | 4085 Tamiami Tr N, Suite B203, Naples, FL 34103 | 2007-11-08 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1659402196 | Christopher M Buckley | Dermatology | 261 9th St S, Naples, FL 34102-6258 | 2007-03-08 |
| Find all providers in NAPLES | ||||
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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.