DR. ALFRED JOSEPH MARTIN JR. (NPI# 1487787545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487787545 |
Entity Type | Individual |
Full Name | DR. ALFRED JOSEPH MARTIN JR. |
Credential | M.D. |
Practice Address |
4013 Old Santa Fe Trl Santa Fe NM 87505-4503 |
Mailing Address |
Po Box 4697 Santa Fe NM 87502-4697 |
Practice Telephone | 5058201544 |
Practice Fax Number | 5059820382 |
Mailing Telephone | 5058201544 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
80-210 | NM | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386764090 | Alfred Joseph Martin | Family Medicine | 5912 W Cermak Rd, Cicero, IL 60804-2135 | 2007-03-29 |
1184775405 | Alfred Marshall Martin IIi | Family Medicine | 5875 Thompson Mill Rd, Suite 100, Hoschton, GA 30548-4133 | 2007-01-15 |
Street Address |
4013 OLD SANTA FE TRL |
City | SANTA FE |
State | NM |
Zip Code | 87505-4503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
Find all providers in zip 87505 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003180969 | Kristen L. Biggs, Md, Skin Care & Vein Centre, PC | Surgery | 409 Saint Michaels Dr, Santa Fe, NM 87505-7603 | 2012-02-23 |
1861665051 | Kristen Lynn Biggs | Surgery | 450 Saint Michaels Dr, Santa Fe, NM 87505-7602 | 2008-04-08 |
1396799110 | Milagro Vein Solutions LLC | Surgery | 490b W Zia Road, Suite A, Santa Fe, NM 87505 | 2006-05-19 |
1437103157 | Joseph M. Smith IIi | Surgery | 490b W Zia Rd, Suite A, Santa Fe, NM 87505-6996 | 2006-05-19 |
1578546628 | Deborah Rudene Caswell | Surgery | 465 Saint Michaels Dr, Suite 110, Santa Fe, NM 87505-7670 | 2005-11-22 |
1477552982 | Gerald Stanley Weinstein | Surgery | 1631 Hospital Dr, Suite 240, Santa Fe, NM 87505-4728 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407031040 | Gopal Reddy M.d., P.C. | Surgery | 500 Walter St Ne Ste 204, Albuquerque, NM 87102-2543 | 2008-01-02 |
1437158003 | Charles Anthony Dow | Surgery | 4407 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-07-18 |
1487080776 | Otero County Medical Group | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2013-09-19 |
1942554480 | Sandya Surgical Associates | Surgery | 2402 W Pierce St, Suite 5c, Carlsbad, NM 88220-3537 | 2012-11-06 |
1093022402 | Robert Moskowitz | Surgery | 201 Cedar St Se Ste 800, Albuquerque, NM 87106 | 2010-09-07 |
1093947491 | Las Cruces Physician Practices, LLC | Surgery | 4351 E Lohman Ave, Suite 403, Las Cruces, NM 88011-8259 | 2009-08-18 |
1588863120 | Muhammad Ali A Rana | Surgery | 2211 Lomas Blvd Ne, Department of Surgery, Albuquerque, NM 87106-2719 | 2007-07-13 |
1871790188 | Sundeep Guliani | Surgery | 2211 Lomas Blvd Ne, Tuv Clinic, 1st Floor, Albuquerque, NM 87106-2719 | 2007-06-29 |
1932302650 | Michael P Keller Md PC | Surgery | 3900 E Lohman Ave Ste B, Las Cruces, NM 88011-8274 | 2007-06-08 |
1821290180 | Elena Y Rakhlin | Surgery | 1 University of New Mexico, Dept of Surgery, Msc10 5610, Albuquerque, NM 87131-0001 | 2007-05-31 |
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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.