DEMETRIO JOSE PROTA MARTINEZ (NPI# 1508206558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508206558 |
| Entity Type | Individual |
| Full Name | DEMETRIO JOSE PROTA MARTINEZ |
| Credential | M.D. |
| Practice Address |
830 S Gloster St Tupelo MS 38801 |
| Mailing Address |
830 S Gloster St Tupelo MS 38801-4934 |
| Practice Telephone | 6623777590 |
| Mailing Telephone | 6623777590 |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
24914 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 234 E 149th St, Bronx, NY 104515504 | 7185795000 |
| Street Address |
830 S GLOSTER ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078746 | David Smith Talton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 S Gloster St, Nmmc East Tower 4th Floor, Tupelo, MS 38801-4934 | 2005-07-29 |
| 1265031561 | Lauren Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1972102275 | Matthew Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1093313397 | Brent Lee Hallmark | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-09 |
| 1457958282 | Benjamin Johnson | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-05 |
| 1144837451 | Kayla Ann Jenkins | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-30 |
| 1720695190 | Kimberly Faye Goss | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-29 |
| 1316554900 | Meaghan Reed | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1659988269 | Anna Elizabeth Roberts | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1487261954 | Helen Paige Long | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730295585 | North Mississippi Medical Center | Psychiatry & Neurology | 4577 S Eason Blvd Ste E F, Tupelo, MS 38801-6590 | 2006-08-22 |
| 1376572123 | Charles Kenneth Lippincott | Psychiatry & Neurology | 4428 South Eason Boulevard, Suite A, Tupelo, MS 38801-6506 | 2006-07-02 |
| 1508893074 | Ross E Collins Jr. | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-06-28 |
| 1316984149 | Andrea Koosne Garrison | Psychiatry & Neurology | 4577 S Eason Blvd, Tupelo, MS 38801-6590 | 2006-06-01 |
| 1588662720 | Clyde Alexander Sheehan | Psychiatry & Neurology | 1040 B South Madison St., Tupelo, MS 38801 | 2005-07-12 |
| 1164723318 | Aracelis Johanna Lu Brea | Psychiatry & Neurology | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2010-11-04 |
| 1649407917 | Chika Uchechukwu Iwueke | Psychiatry & Neurology | 1601 W Main St, Suite D, Tupelo, MS 38801-3334 | 2009-06-15 |
| 1770760357 | Santrise Goree | Psychiatry & Neurology | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2008-01-26 |
| 1578654851 | Alena Bess Tyre-littlejohn | Psychiatry & Neurology | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1346340858 | Joanne Eleanor Turner | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-24 |
| Find all providers in TUPELO | ||||
Please comment or provide details below to improve the information on DEMETRIO JOSE PROTA 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.