DR. KELSEY THOMPSON MARTIN (NPI# 1467763946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467763946 |
| Entity Type | Individual |
| Full Name | DR. KELSEY THOMPSON MARTIN |
| Credential | M.D. |
| Practice Address |
240 Indian River Rd Ste A1 Orange CT 06477-3690 |
| Practice Telephone | 2037951664 |
| Mailing Telephone | 2037951665 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
62011 | CT | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
270677 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Gustave L Levy Pl, Box 1079, Mt. Sinai Hospital, Hematology/medical Oncol, New York, NY 100296504 | 6199941681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124530795 | Kelsey Lynn Martin | Case Manager/Care Coordinator | 4302 Allen Rd Ste 402, Stow, OH 44224-1070 | 2017-11-03 |
| 1477968691 | Kelsey Shea Martin | Speech-Language Pathologist | 6614 Buck Horn Pl, Waxhaw, NC 28173-0181 | 2014-06-26 |
| 1245507565 | Kelsey Renee Martin | Midwife, Lay | 13315 Route 35 S, Mifflin, PA 17058-7228 | 2011-12-01 |
| 1316575038 | Kelsey Martin | Nurse Practitioner | 273 E Ovilla Rd Ste 4, Red Oak, TX 75154-2605 | 2020-03-29 |
| 1205398708 | Kelsey Martin | Nurse Practitioner | 3280 E Lanark Dr, Meridian, ID 83642-5982 | 2019-04-03 |
| 1245725860 | Kelsey Aileen Martin | Nurse Practitioner | 1540 Maple Rd, Williamsville, NY 14221 | 2018-06-26 |
| 1922595115 | Kelsey Martin | Speech-Language Pathologist | 2043 W Belmont Ave Ste 1, Chicago, IL 60618-6796 | 2018-04-13 |
| 1104329432 | Kelsey Ann Martin | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2018-03-13 |
| 1619478559 | Kelsey Palm Martin | Nurse Practitioner | 250 25th Ave N Ste 200, Nashville, TN 37203-1619 | 2018-02-26 |
| 1477073922 | Kelsey Martin | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2017-06-26 |
| Street Address |
240 INDIAN RIVER RD STE A1 |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-3690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326458175 | Xinyu Nan | Internal Medicine | 1010 W La Veta Ave Ste 250, Orange, CA 92868-4303 | 2014-05-02 |
| 1356541502 | Deepa Jeyakumar | Internal Medicine | 101 The City Dr S Bldg 56, Room 245 Zot 4061, Orange, CA 92868-3201 | 2007-07-24 |
| 1053402933 | Onoclogy Network of Orange County A Medical Group Inc | Internal Medicine | 1140 W La Veta Ave Ste 610, Orange, CA 92868-4228 | 2006-09-27 |
| 1972540797 | Alpesh Jashvant Amin | Internal Medicine | 355 Henry St, Orange, NJ 07050-2514 | 2006-06-01 |
| 1770535908 | James A. Padova | Internal Medicine | 1010 W. La Veta, Suite 200, Orange, CA 92868-4301 | 2006-05-16 |
| 1801443510 | St Joseph Heritage Healthcare | Internal Medicine | 1010 W La Veta Ave Ste 200, Orange, CA 92868-4301 | 2019-08-19 |
| 1306257472 | Dan Zhao | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2014-05-12 |
| 1609003961 | Chuan-ju Gwendolyn Pan | Internal Medicine | 1010 W La Veta Ave, Suite 250, Orange, CA 92868-4300 | 2009-06-14 |
| 1922240191 | Nataliya Mar | Internal Medicine | 101 The City Drive South, Building 56, Room 243, Orange, CA 92868-3201 | 2009-04-02 |
| 1588814404 | Viola Zhu | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2008-09-28 |
| Find all providers in ORANGE | ||||
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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.