ALEX RICHARD MARTIN (NPI# 1407344450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407344450 |
| Entity Type | Individual |
| Full Name | ALEX RICHARD MARTIN |
| Credential | CDCA |
| Practice Address |
15221 State Route 772 Piketon OH 45661-9062 |
| Mailing Address |
1118 Tiffany Dr Reynoldsburg OH 43068-1767 |
| Practice Telephone | 7409476727 |
| Mailing Telephone | 6146963330 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508834615 | Alex J Martin | Dentist | 160 Broadway, Suite #1203, New York, NY 10038-4201 | 2006-03-14 |
| 1699398990 | Alex Martin | Student in an Organized Health Care Education/Training Program | 98 S Los Robles Ave, Pasadena, CA 91101-2433 | 2020-05-20 |
| 1083094676 | Alex Robert Martin | Radiology | 28100 Grand River Ave, Ste 313-south, Farmington Hills, MI 48336-5967 | 2015-06-09 |
| 1558466037 | Alex J Martin | Dentist | 10752 N 89th Pl, #223, Scottsdale, AZ 85260-6730 | 2006-09-13 |
| Street Address |
15221 STATE ROUTE 772 |
| City | PIKETON |
| State | OH |
| Zip Code | 45661-9062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355393 | Michelle Rana Colley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2017-09-11 |
| 1255946554 | Robert Hurles | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2020-09-14 |
| 1053957878 | David Bryan Porter Jr. | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-27 |
| 1740826890 | Mason Conley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-25 |
| 1831735075 | Anthony Wayne Cox | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-22 |
| 1245899053 | Timothy Matthew Ryan | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-06-06 |
| 1326606526 | Aaron Joeseph Bradley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-06-03 |
| 1285298182 | Elyse Waugh | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-04-25 |
| 1336612035 | Alan Frank Walsh | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-01-04 |
| 1043796980 | Shawn Randall Prentice | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882028 | Quest Diagnostics | Clinical Medical Laboratory | 7777 St Rt 23, Ste A, Piketon, OH 45661 | 2020-08-18 |
| 1497303614 | Johnny Conley | Counselor | 15521 State Route 772, Piketon, OH 45661 | 2019-08-30 |
| 1538657622 | Brewsters Hometown Pharmacy LLC | Pharmacy | 104 Thornton Dr, Piketon, OH 45661 | 2018-04-25 |
| 1891208344 | Penny Moore | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661 | 2017-11-07 |
| 1205349891 | Amanda Riggs | Counselor | 15221 State Route 124, Piketon, OH 45661 | 2017-11-06 |
| 1811409899 | Lydia R Jenkins | Counselor | 15221 St. Rt. 124, Piketon, OH 45661 | 2017-10-30 |
| 1912443730 | Lee Adams | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2017-01-18 |
| 1558729806 | Pleasant Hill Leasing, LLC | Skilled Nursing Facility | 7143 Us Route 23 South, Piketon, OH 45661 | 2016-02-02 |
| 1750758892 | David Conley | Nurse Practitioner | 418 Skyline Dr, Piketon, OH 45661 | 2015-08-24 |
| 1558597724 | Sarah E. Williams | Dental Hygienist | 7777 U.S. Route 23, Piketon, OH 45661 | 2009-06-02 |
| Find all providers in zip 45661 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303614 | Johnny Conley | Counselor | 15521 State Route 772, Piketon, OH 45661 | 2019-08-30 |
| 1891208344 | Penny Moore | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661 | 2017-11-07 |
| 1205349891 | Amanda Riggs | Counselor | 15221 State Route 124, Piketon, OH 45661 | 2017-11-06 |
| 1811409899 | Lydia R Jenkins | Counselor | 15221 St. Rt. 124, Piketon, OH 45661 | 2017-10-30 |
| 1205355393 | Michelle Rana Colley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2017-09-11 |
| 1912443730 | Lee Adams | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2017-01-18 |
| 1255946554 | Robert Hurles | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2020-09-14 |
| 1114550050 | Benjamin Glispie | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2020-02-19 |
| 1366089302 | Amber Self | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2019-12-10 |
| 1053957878 | David Bryan Porter Jr. | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-27 |
| Find all providers in PIKETON | ||||
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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.