LAURA MARGARET MARTIN


Address: 1700 N Broad St, Philadelphia, PA 19121
Phone: 2152042679

LAURA MARGARET MARTIN (NPI# 1558344135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558344135
Entity Type Individual
Full Name LAURA MARGARET MARTIN
Credential MD
Practice Address 1700 N Broad St
Philadelphia
PA 19121
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2152042679
Practice Fax Number 2152041784
Mailing Telephone 2157072400
Mailing Fax Number 2157074034
Enumeration Date 2005-11-28
Last Update Date 2018-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD428655 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 101717193 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1700 N Broad St, Philadelphia, PA 191213429 2152042679 2152041784

Other Providers LAURA MARTIN

NPI Name Taxonomy Address Enumeration
1194334441 Laura Martin Physical Therapist 11526 Gaymoor Dr, Houston, TX 77035-2919 2020-07-23
1407319122 Laura Martin Nurse Practitioner 1645 Palm Beach Lakes Blvd Ste 240, West Palm Beach, FL 33401-2205 2019-04-09
1558843896 Laura Elizabeth Martin Pharmacist 133 Old Rd 9 Acre Cor, Concord, MA 01742-4169 2018-09-04
1821507534 Laura Linn Martin Physician Assistant 24700 Lorain Rd Ste 207, North Olmsted, OH 44070-2068 2017-09-26
1588119226 Laura Martin Pharmacist 1319 Wahpeton Pass, Brookings, SD 57006-3641 2016-08-23
1225426216 Laura Martin Counselor 1329 E Kemper Rd Ste 4228, Cincinnati, OH 45246-5100 2014-12-30
1134473903 Laura Nicole Martin Occupational Therapist 240 Julie Ln, Stonewall, LA 71078-9395 2012-11-01
1558663534 Laura Martin Physician Assistant 130 Stonecrest Rd Ste 106, Shelbyville, KY 40065-8126 2010-11-24
1710295811 Laura Sue Martin Occupational Therapist 2241 Nelson Dr, Niskayuna, NY 12309-3903 2010-09-23
1649445933 Laura Patterson Martin Physical Therapist 1790 Ford Rd, Gaffney, SC 29340-5325 2008-04-28

Office Location

Street Address 1700 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487136495 Temple Faculty Practice Plan Inc Family Medicine 1700 N Broad St, Philadelphia, PA 19121-3429 2018-09-06
1053624627 Evelyn D Shober Family Medicine 1700 N Broad St, Philadelphia, PA 19121 2010-07-23
1659514610 Lori Clements Family Medicine 1700 N Broad St, Philadelphia, PA 19121 2009-04-07
1669681821 Nasreen Malik Family Medicine 1700 N Broad St, Philadelphia, PA 19121-3429 2007-05-22
1336356807 Mark Steven Salzer Psychologist 1700 N Broad St, Suite 304, Philadelphia, PA 19122 2007-05-16
1013137892 Nancy Bernadette Andresen Family Medicine 1700 N Broad St, Philadelphia, PA 19121 2007-04-26
1063636181 Dorrit Hale Sterner Family Medicine 1700 N Broad St, Philadelphia, PA 19121 2007-04-12
1871635854 Jeanne L Bernosky Family Medicine 1700 N Broad St, Philadelphia, PA 19121 2007-02-13
1225188998 Michael David Brown Family Medicine 1700 N Broad St, Philadelphia, PA 19121-3429 2007-01-12
1639229909 Sarah Jayne Sherr Family Medicine 1700 N Broad St, Philadelphia, PA 19121 2007-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356975445 Shaun Shields Specialist/Technologist 1814 N. Broad Street, Philadelphia, PA 19121 2020-02-27
1225682503 Ebony Qiana Morrison Technician 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 2019-07-25
1003398462 Lyn Morrissa Meyerhoff Specialist/Technologist 1800 N. Broad Street, Philadelphia, PA 19121 2018-09-03
1356853576 George E Kinsler Pharmacist 1941 N 24th St, Phila, PA 19121 2017-10-27
1205358652 Perfect Love & Care LLC Home Health 1812 North Croskey Street, Philadelphia, PA 19121 2017-07-07
1427405257 Rite-care Pharmacy Inc. Pharmacy 2213 Ridge Ave., Philadelphia, PA 19121 2016-05-23
1356735831 Eguono Eduvie Psychiatry & Neurology 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 2015-03-24
1285986828 Young Scholars Frederick Douglass Charter School Local Education Agency (LEA) 2118 W Norris St., Philadelphia, PA 19121 2012-10-05
1568764470 Young Scholars Frederick Douglass Charter School Local Education Agency (LEA) 2118 W Norris St, Philadelphia, PA 19121 2010-11-29
1730408683 Pamela Lewis Registered Nurse Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 2010-05-18
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619587227 Cmp Medical LLC Family Medicine 3626 Sears St, Philadelphia, PA 19146-3217 2020-08-07
1225648140 Action Health Centers Inc Family Medicine 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 2020-08-05
1285289876 Visiting Doctors Inc Family Medicine 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 2019-08-09
1770137218 Health Care At Northeast Philadelphia LLC Family Medicine 3353 Cottman Avenue, Philadelphia, PA 19149-1603 2019-08-01
1679131585 Aria Health Physician Services Family Medicine 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 2019-06-05
1689232597 Aria Health Physician Services Family Medicine 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 2019-06-05
1174096432 Temple University of The Commonwealth System of Higher Education Family Medicine 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 2019-01-09
1679043152 Prevention Point Philadelphia Family Medicine 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 2018-11-28
1700362266 Wes Corporation Family Medicine 5000 N 13th St, Philadelphia, PA 19141-3533 2018-07-17
1376046508 Philly Medical and Rehab Associates Family Medicine 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 2018-03-14
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Competitor

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City PHILADELPHIA
Zip Code 19121

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Dataset Information

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.

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