JACEN A MARTINEZ (NPI# 1568560472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568560472 |
Entity Type | Individual |
Full Name | JACEN A MARTINEZ |
Credential | P.A. |
Practice Address |
1400 Front Ave Suite 100 Lutherville MD 21093-5300 |
Practice Telephone | 4102966232 |
Practice Fax Number | 4108215943 |
Mailing Telephone | 4102966232 |
Mailing Fax Number | 4108215943 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2015-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | C0001908 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1400 FRONT AVE SUITE 100 |
City | LUTHERVILLE |
State | MD |
Zip Code | 21093-5300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730142464 | Peter C. Innis | Orthopaedic Surgery | 1400 Front Ave, Suite 100, Lutherville, MD 21093-5300 | 2006-04-12 |
1992277750 | Kaliopi Skevofilax | Occupational Therapist | 1400 Front Ave, Lutherville, MD 21093 | 2018-12-18 |
1003293978 | National Rehabilitation Hospital, Inc. | Physical Therapist | 1400 Front Ave, Suite 205, Lutherville, MD 21093-5300 | 2015-04-30 |
1295145621 | Shana Ward | Psychologist | 1400 Front Ave, Suite 204, Lutherville, MD 21093-5300 | 2014-05-07 |
1164841284 | Janice C. C. Lepore, Psy.d., and Associates, LLC | Psychologist | 1400 Front Ave, Suite 204, Lutherville, MD 21093-5300 | 2014-04-16 |
1760803308 | Alison L. Miller, Psy.d., LLC | Psychologist | 1400 Front Ave, Suite 204, Lutherville, MD 21093-5300 | 2013-12-29 |
1619206125 | Kristin M Brown | Occupational Therapist | 1400 Front Ave, Lutherville, MD 21093-5300 | 2009-12-11 |
1164659645 | Ryan M Zimmerman | Orthopaedic Surgery | 1400 Front Ave, Suite 100, Lutherville, MD 21093-5300 | 2009-06-11 |
1295875979 | Heather D Nitsch | Physical Therapist | 1400 Front Ave, Suite 205, Lutherville, MD 21093-5300 | 2007-02-08 |
1760537435 | Susan Burke | Occupational Therapist | 1400 Front Ave, Suite 205, Lutherville, MD 21093-5300 | 2007-01-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
Find all providers in zip 21093 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953251 | Maria Andrzejewski | Physician Assistant | 101 W Ridgely Rd Ste 4b, Lutherville, MD 21093-5145 | 2018-12-10 |
1093174146 | Cheryl Kacher | Physician Assistant | 19 Evans Ave, Lutherville, MD 21093-4209 | 2016-02-17 |
1063053502 | Edward M Klepper II | Physician Assistant | 101 W Ridgely Rd Ste 4b, Lutherville, MD 21093-5145 | 2019-10-07 |
1609327741 | Katherine Gaitan | Physician Assistant | 101 W Ridgely Rd, Suite 4b, Lutherville, MD 21093-5101 | 2016-10-24 |
1902357635 | Cheryl Kacher | Physician Assistant | 19 Evans Ave, Lutherville, MD 21093-4209 | 2016-10-18 |
1366715625 | Jack A. Goble Jr. | Physician Assistant | 10755 Falls Rd, Suite 160, Lutherville, MD 21093-4515 | 2012-02-17 |
1255617114 | Alissa Joy Attman | Physician Assistant | 101 W Ridgely Rd, Lutherville, MD 21093-5101 | 2011-10-24 |
1841432119 | Peggy Kathleen Stouffer | Physician Assistant | 1205 York Road, Suite 12, Lutherville, MD 21093-6211 | 2009-04-01 |
1396963724 | Howard A. Abraham | Physician Assistant | 1447 York Rd Ste 406, Lutherville, MD 21093 | 2007-04-23 |
1992923247 | Michele Y. Duda | Physician Assistant | 10755 Falls Rd, Suite 160, Lutherville, MD 21093-4515 | 2007-04-23 |
Find all providers in LUTHERVILLE |
City | LUTHERVILLE |
Zip Code | 21093 |
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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.