MR. KEVIN MICHAEL MARTINEZ (NPI# 1497386056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497386056 |
| Entity Type | Individual |
| Full Name | MR. KEVIN MICHAEL MARTINEZ |
| Practice Address |
4201 Henry Ave Philadelphia PA 19144-5409 |
| Mailing Address |
98 Oak St Apt 3108 Lindenwold NJ 08021-2451 |
| Practice Telephone | 2159512700 |
| Mailing Telephone | 8565713723 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| 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 |
|---|---|---|---|---|
| 1083841332 | Kevin Patrick Martinez | Internal Medicine | 2425 Geary Blvd # M115, San Francisco, CA 94115-3358 | 2009-06-14 |
| 1700800828 | Kevin R Martinez | Pain Medicine | 4228 Houma Blvd Ste 510, Suite 510, Metairie, LA 70006-3015 | 2006-07-26 |
| 1619578879 | Kevin A Martinez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1437769601 | Kevin Martinez | Behavioral Analyst | 5530 Corbin Ave Ste 221, Tarzana, CA 91356-6095 | 2020-08-03 |
| 1104440767 | Kevin Martinez | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-05-29 |
| 1215574421 | Kevin Jesus Martinez | Dental Assistant | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-06 |
| 1205489614 | Kevin Martinez | Social Worker | 2509 Broadway, Astoria, NY 11106-3413 | 2019-07-24 |
| 1104399062 | Kevin Martinez | Behavioral Analyst | 1010 Wayne Ave Ste 675, Silver Spring, MD 20910-5676 | 2019-01-03 |
| 1144752403 | Kevin Martinez | Family Medicine | 636 Raymond Dr Ste 200, Naperville, IL 60563-9791 | 2017-03-28 |
| 1629416458 | Kevin J Martinez | Emergency Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2013-06-14 |
| Street Address |
4201 HENRY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225159544 | Karen Dahlquist | Clinic/Center | 4201 Henry Ave, Philadelphia University Student Health Center, Philadelphia, PA 19144-5409 | 2007-04-03 |
| 1366055782 | Abbie Marie Predmore | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1740893163 | Colton Dayne Salomon-lowden | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1194338517 | Teagen Hay | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1033722442 | Benjamin G Cochran | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1942813357 | Mikala Palermo | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1205449618 | Kourtney Jane Snigar | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1508479924 | Marcellus Hill | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1962033571 | Kelli Lynn Swanson | Student in an Organized Health Care Education/Training Program | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-02-01 |
| 1801427562 | Jalen Mergenhagen | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| 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 |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1477166056 | Tiffany Shanay Canady | Student in an Organized Health Care Education/Training Program | 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 | 2020-08-25 |
| 1093325599 | Taylor Ann Hall | Student in an Organized Health Care Education/Training Program | 403 E Evergreen Ave, Philadelphia, PA 19118-2826 | 2020-08-09 |
| 1093324766 | Alex J Rodriguez | Student in an Organized Health Care Education/Training Program | 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 | 2020-07-28 |
| 1396361796 | Hagar Mahmoud | Student in an Organized Health Care Education/Training Program | 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 | 2020-06-22 |
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1386266138 | Ogan Kumova | Student in an Organized Health Care Education/Training Program | 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 | 2020-05-15 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on MR. KEVIN MICHAEL MARTINEZ.
| 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.