JACOB SAMUEL MARTIN (NPI# 1447781265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447781265 |
| Entity Type | Individual |
| Full Name | JACOB SAMUEL MARTIN |
| Credential | M.D. |
| Practice Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
| Practice Telephone | 4146493323 |
| Mailing Telephone | 4146493323 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915530 | Jacob Jeffrey Martin | Behavior Technician | 155 Grand Ave Ste 500, Oakland, CA 94612-3747 | 2020-09-01 |
| 1942829312 | Jacob Campbell Martin | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-04-15 |
| 1780163592 | Jacob Courtlyn Martin | Nurse Practitioner | 3310 Sw 34th St, Ocala, FL 34474-7422 | 2018-08-13 |
| 1821524216 | Jacob Martin | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2017-05-04 |
| 1154783157 | Jacob Andrew Martin | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2016-03-28 |
| 1134569239 | Jacob L Martin | Physical Therapy Assistant | 1254 Andrews Ave, Ozark, AL 36360-3712 | 2013-07-03 |
| 1841344959 | Jacob Anthony Martin | Anesthesiology | 111 Colchester Ave, Anesthesiology, Wp 2, Burlington, VT 05401-1473 | 2007-01-23 |
| 1114032018 | Jacob Lee Martin | Physical Therapist | 4700 Seton Center Pkwy, Ste 200, Austin, TX 78759-4107 | 2006-08-20 |
| Street Address |
2900 W OKLAHOMA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640811 | Moises A Garcia | Internal Medicine | 2900 W Oklahoma Ave, 5th Fl, Milwaukee, WI 53215-4330 | 2005-06-21 |
| 1366040883 | Amy Lynn Mann | Occupational Therapist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-16 |
| 1992302616 | Taylor A Umpierrez | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-06 |
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1992318091 | Sarah E Gelhaar | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-28 |
| 1831700483 | David J Guerard | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-16 |
| 1083225767 | Melanie M Quella | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-14 |
| 1740890219 | Kathleen Rose Silveira | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-08 |
| 1245849264 | Anna K Coppin | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-07-27 |
| 1780209320 | Angie Knutson | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1831707991 | Teresa Marie Ilardi | Student in an Organized Health Care Education/Training Program | 500 W Bradley Rd Apt 127a, Milwaukee, WI 53217-2618 | 2020-07-15 |
| 1053938167 | Joe Dalton | Student in an Organized Health Care Education/Training Program | 1431 N 53rd St, Milwaukee, WI 53208-2227 | 2020-07-06 |
| 1326663790 | Amber Frances Wegner | Student in an Organized Health Care Education/Training Program | 3050 S 62nd St, Milwaukee, WI 53219-3039 | 2020-06-11 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1194349688 | Nikole Anne Bruno | Student in an Organized Health Care Education/Training Program | 2160 S Kinnickinnic Ave Apt 327, Milwaukee, WI 53207-1345 | 2020-06-01 |
| 1598389124 | Amanda Philbin | Student in an Organized Health Care Education/Training Program | 6834 W Cold Spring Rd, Milwaukee, WI 53220-2909 | 2020-05-29 |
| 1992328603 | Amanda Kathryn Browning | Student in an Organized Health Care Education/Training Program | 1123 E Van Beck Ave, Milwaukee, WI 53207-4525 | 2020-05-28 |
| 1548899875 | Brittany Schall | Student in an Organized Health Care Education/Training Program | 945 N 12th St # 3105, Milwaukee, WI 53233-1305 | 2020-04-07 |
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| Find all providers in MILWAUKEE | ||||
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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.