MR. KEVIN LEE MARTIN (NPI# 1558504316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558504316 |
| Entity Type | Individual |
| Full Name | MR. KEVIN LEE MARTIN |
| Credential | DO |
| Practice Address |
800 N Justice St Hendersonville NC 28791-3410 |
| Mailing Address |
555 E Cheves St Florence SC 29506-2617 |
| Practice Telephone | 8286948350 |
| Practice Fax Number | 8286947654 |
| Mailing Telephone | 8437772800 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2019-01716 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01611 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NCMB | 2019-01716 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 E Cheves St, Florence, SC 295062617 | 8437772000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681988 | Kevin Martin | Behavior Technician | 4760 Flintridge Dr # 125, Colorado Springs, CO 80918-4267 | 2018-09-05 |
| 1295949188 | Kevin L. Martin | Internal Medicine | 7 W 96th St Apt 1a, New York, NY 10025-6514 | 2007-05-09 |
| 1417179607 | Kevin John Martin | Chiropractor | 7136 Mlk Jr Way S, Ste 204, Seattle, WA 98118-3526 | 2007-05-03 |
| 1225162142 | Kevin Earl Martin | Chiropractor | 2513 Colorado Blvd, Los Angeles, CA 90041-1004 | 2007-03-15 |
| 1558405787 | Kevin Paul Martin | Optometrist | 201w Napa St 3, Sonoma, CA 95476-6621 | 2007-02-19 |
| 1952376295 | Kevin Mathew Martin | Dentist | 9450 W Russell Rd Ste 102, Las Vegas, NV 89148-5690 | 2006-02-21 |
| 1093347700 | Kevin Charles Martin | Physical Therapist | 170 Taylor Station Rd Ste 220, Columbus, OH 43213-4491 | 2020-02-11 |
| 1730675034 | Kevin Martin | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-10 |
| 1376030478 | Kevin Martin | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-04-16 |
| 1710484530 | Kevin Mark Martin | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2018-04-09 |
| Street Address |
800 N JUSTICE ST |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28791-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203088 | Hendersonville Emergency Consultants PC | Emergency Medicine | 800 N Justice St, Hendersonville, NC 28791-3410 | 2005-05-23 |
| 1881209203 | Kristen Marie Kowalczyk | 800 N Justice St, Hendersonville, NC 28791-3410 | 2020-09-11 | |
| 1780297473 | Natalie Gale Lewis | Nurse Practitioner | 800 N Justice St, Hendersonville, NC 28791-3410 | 2020-08-24 |
| 1205458775 | John Hayes Baylor | Nurse Anesthetist, Certified Registered | 800 N Justice St, Hendersonville, NC 28791-3410 | 2020-05-07 |
| 1528699915 | Meggan Elise Lytle | Nurse Practitioner | 800 N Justice St, Hendersonville, NC 28791-3410 | 2020-02-04 |
| 1740774934 | Derek Alexander Cowan | Nurse Anesthetist, Certified Registered | 800 N Justice St, Hendersonville, NC 28791-3410 | 2018-06-20 |
| 1700377751 | Paul Carl Schedler | Nurse Anesthetist, Certified Registered | 800 N Justice St, Hendersonville, NC 28791-3410 | 2018-05-25 |
| 1639669377 | Robert Bradley Veasey | Nurse Anesthetist, Certified Registered | 800 N Justice St, Hendersonville, NC 28791-3518 | 2018-05-17 |
| 1811499247 | Racheal Bell | Nurse Practitioner | 800 N Justice St, Hendersonville, NC 28791 | 2018-03-01 |
| 1558860684 | Justin Ryan Miller | Nurse Anesthetist, Certified Registered | 800 N Justice St, Hendersonville, NC 28791-3410 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064085 | Daniel Mick | Chiropractor | 1721 Brevard Rd., Hendersonville, NC 28791 | 2016-03-02 |
| 1215393194 | Mark Claar | Physician Assistant | 2315 Asheville Hwy Ste 20, Hendersonville, NC 28791 | 2016-01-08 |
| 1528400777 | Heather L Strauss | Physician Assistant | 800 North Justice St, Henderson Co Hosp Corp Dba Pardee Medical Associates, Hendersonville, NC 28791 | 2013-07-29 |
| 1891029708 | Sara Brady Fraboni | Pharmacist | 1148 Asheville Highway, Asheville, NC 28791 | 2009-09-24 |
| 1578730362 | Edward Frederick Block Iv | Acupuncturist | 2024 Asheville Hwy, Suite H, Hendersonville, NC 28791 | 2008-05-12 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1184836223 | Fred Hamilton Rindge Iv | Chiropractor | 619 Oakland St, Hendersonville, NC 28791 | 2007-05-03 |
| 1912022989 | Laurel Park Medical Centre Pharmacy | Pharmacist | 1881 Pisgah Dr., Hendersonville, NC 28791 | 2007-03-20 |
| 1538236153 | Elizabeth N Lima | Psychologist | 709 North Justice Street, Suite B, Hendersonville, NC 28791 | 2006-11-29 |
| 1144394123 | Kenneth L Merritt Jr. | Dentist | 687 B Blythe St Ct, Hendersonville, NC 28791 | 2006-11-20 |
| Find all providers in zip 28791 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873591 | Hannah Barnwell Bell | Family Medicine | 1419 Jeter Mountain Rd, Hendersonville, NC 28739-2403 | 2020-05-23 |
| 1609346675 | Patricia Mae Fajardo | Family Medicine | 121 Creekwood Ln, Hendersonville, TN 37075-2444 | 2018-12-03 |
| 1487005203 | Marianna Cristine Benson | Family Medicine | 1881 Pisgah Dr Bldg A, Hendersonville, NC 28791-3760 | 2016-06-22 |
| 1265779466 | Healthy Inside & Out LLC | Family Medicine | 5 Industrial Park Dr, Suite 3, Hendersonville, TN 37075-2172 | 2013-01-08 |
| 1639324056 | Family Wellness Group of Middle Tennessee LLC | Family Medicine | 107 Glen Oak Blvd Ste 201, Glen Oaks Center, Hendersonville, TN 37075-3000 | 2008-11-26 |
| 1023284601 | Angelisa Janikke Janssen | Family Medicine | 170 E Main St Ste D, Ste 193, Hendersonville, TN 37075-3952 | 2008-05-05 |
| 1578766697 | Chris Mehr | Family Medicine | 146 Gatone Dr, Hendersonville, TN 37075-4937 | 2007-06-06 |
| 1831257617 | Ada Dorothy Hayes | Family Medicine | 266 Lake Terrace Dr, Hendersonville, TN 37075-5122 | 2006-12-05 |
| 1548335730 | Jorge David Flechas | Family Medicine | 80 Doctors Drive, Suite 3, Hendersonville, NC 28792 | 2006-11-22 |
| 1184708539 | Conn M. Mcconnell | Family Medicine | 351 New Shackle Island Road, Hendersonville, TN 37075-2300 | 2006-10-24 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 28791 |
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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.