MARTIN E SAMUEL


Address: 2741 W Layton Avenue, Suite 206, Milwaukee, WI 53221-2600
Phone: 4142819820

MARTIN E SAMUEL (NPI# 1376500884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376500884
Entity Type Individual
Full Name MARTIN E SAMUEL
Credential MD
Practice Address 2741 W Layton Avenue
Suite 206
Milwaukee
WI 53221-2600
Practice Telephone 4142819820
Practice Fax Number 4142819835
Mailing Telephone 4142819820
Mailing Fax Number 4142819835
Enumeration Date 2006-04-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 20223 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30307900 05

Office Location

Street Address 2741 W LAYTON AVENUE
SUITE 206
City MILWAUKEE
State WI
Zip Code 53221-2600

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NPI Name Taxonomy Address Enumeration
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1447781992 Itamar Yaakov Gnatt Emergency Medicine 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 2017-03-27
1194277160 Suzanne Derosier Licensed Practical Nurse 3910 W Bridge, Greenfield, WI 53221 2016-10-26
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972104156 Alliance Ent and Hearing Center, Sc Otolaryngology 2524 E Webster Place, Suite 201, Milwaukee, WI 53211-4257 2020-11-04
1962969915 Alliance Ent & Hearing Center, S.c. Otolaryngology 2500 W Layton Ave Ste 230, Milwaukee, WI 53221-5421 2019-02-26
1487055133 Sam Khalili Otolaryngology 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 2014-09-12
1881819092 Ent Associates Sc Otolaryngology 2315 N Lake Dr Ste 1005, Milwaukee, WI 53211-4516 2007-04-14
1306930888 Linda J Dindzans Otolaryngology 8532 W. Capitol Dr., Suite L100, Milwaukee, WI 53222 2006-10-02
1275521288 Madan N Kandula Otolaryngology 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 2005-10-12
1184626475 S. Fredric Horwitz I Otolaryngology 2350 W Villard Ave, # 207, Milwaukee, WI 53209-5086 2005-06-01
1952806788 Kaleigh Alexis Stabenau Otolaryngology 9200 W Wisconsin Ave, Milwaukee, WI 53226 2018-03-26
1366963340 Adam Clayton Thompson-harvey Otolaryngology 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2017-06-29
1730610692 Axel Shum Otolaryngology 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2017-03-22
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City MILWAUKEE
Zip Code 53221

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Dataset Information

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.

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