TIMOTHY SHANE MARTIN (NPI# 1386716686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386716686 |
| Entity Type | Individual |
| Full Name | TIMOTHY SHANE MARTIN |
| Credential | MD |
| Practice Address |
2110 N Willis St Suite B Abilene TX 79603-4359 |
| Practice Telephone | 3252328675 |
| Practice Fax Number | 3258993418 |
| Mailing Telephone | 3252328675 |
| Mailing Fax Number | 3258993418 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K2958 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568677524 | Timothy Bruce Martin | Family Medicine | 20 Calypso Shrs, Novato, CA 94949-5309 | 2007-05-13 |
| 1306961487 | Timothy Ross Martin | Dentist | 1599 Fort Henry Drive, Kingsport, TN 37664 | 2007-03-20 |
| 1104998418 | Timothy L Martin | Counselor | 923 East Norfolk Ave, Norfolk, NE 68701 | 2006-11-14 |
| 1366486722 | Timothy J Martin | Internal Medicine | 1050 W 10th St Ste 500, Rolla, MO 65401 | 2006-06-16 |
| 1336601723 | Timothy Paul Martin | Nurse Practitioner | 281 W 4th St, Independence, LA 70443-2386 | 2019-04-03 |
| 1366902934 | Timothy Martin | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-03-21 |
| 1134688542 | Timothy Martin | Physical Therapist | 200 Petersville Rd Ste 3, New Rochelle, NY 10801-4465 | 2019-03-15 |
| 1154834703 | Timothy Martin | Peer Specialist | 109 S 2nd St, Central City, KY 42330-1505 | 2017-11-06 |
| 1790215754 | Timothy Martin | Social Worker | 90 Wagner Rd, Monaca, PA 15061-2489 | 2017-06-13 |
| 1487016572 | Timothy Charles Martin | Internal Medicine | 47 New Scotland Ave, Dept. of Medicine, Albany, NY 12208-3412 | 2016-03-28 |
| Street Address |
2110 N WILLIS ST SUITE B |
| City | ABILENE |
| State | TX |
| Zip Code | 79603-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992248249 | Chirise Gray | Nurse Practitioner | 2110 N Willis St, Suite B, Abilene, TX 79603 | 2016-11-18 |
| 1598155855 | Cindy Hess | Nurse Practitioner | 2110 North Willis, Pregnancy Resources of Abilene, Abilene, TX 79603 | 2015-01-26 |
| 1558605147 | Farisa F Ali | Pharmacist | 991 North Willis Street, Abilene, TX 79603 | 2012-11-20 |
| 1871709543 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 A Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1114133873 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 B Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1740306083 | Eleanor E Bennett | Technician | 1460 Mimosa Drive, Abilene, TX 79603 | 2007-03-21 |
| 1104935857 | Greg Walter Waldrip | Chiropractor | 3301 N 3rd #134, Abileue, TX 79603 | 2006-08-29 |
| 1093727059 | Mark Nelson Tate | Dentist | 1025 Glenhaven, Abilene, TX 79603 | 2006-08-11 |
| 1912944299 | Express Medical Supply, Ltd. | Durable Medical Equipment & Medical Supplies | 3122 N 1st St, Abilene, TX 79603 | 2006-06-02 |
| 1326015959 | Megan Lee Kendall | Dietitian, Registered | 765 Orange, Abilene, TX 79603 | 2006-03-02 |
| Find all providers in zip 79603 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796566 | Tabitha Callaway | Family Medicine | 14 High Life Cir, Abilene, TX 79606-3440 | 2020-09-25 |
| 1083245815 | Mikiel Medical Mall, Pllc | Family Medicine | 3347 S 2nd St, Abilene, TX 79605-1760 | 2020-01-30 |
| 1760953574 | Restore Wellness Primary Care, Pllc | Family Medicine | 4601 Buffalo Gap Rd Ste C1, Abilene, TX 79606-3363 | 2018-12-06 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1740609593 | Oyewole Jacob Olanrewaju | Family Medicine | 1150 N 18th St Ste 300, Abilene, TX 79601-2931 | 2014-04-09 |
| 1457608853 | Ashley Adames | Family Medicine | 1850 Hickory St Ste 101, Abilene, TX 79601 | 2012-08-06 |
| 1992935456 | Henry Mbah Chick Fosah | Family Medicine | 1210 N 18th St, Abilene, TX 79601-2933 | 2009-07-18 |
| 1659528479 | Armc Lp | Family Medicine | 6250 Hwy 83 / 84, Abilene, TX 79606-5215 | 2008-08-22 |
| 1902067408 | David C Belcher | Family Medicine | 100 Chestnut St Ste 101, Abilene, TX 79602-1440 | 2008-06-18 |
| 1114111580 | Stanly T Selby, M.d. | Family Medicine | 1115 Industrial Blvd, Abilene, TX 79602-7929 | 2007-08-29 |
| Find all providers in ABILENE | ||||
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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.