JACEN A MARTINEZ


Address: 1400 Front Ave, Suite 100, Lutherville, MD 21093-5300
Phone: 4102966232

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C0001908 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1400 FRONT AVE
SUITE 100
City LUTHERVILLE
State MD
Zip Code 21093-5300

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LUTHERVILLE
Zip Code 21093

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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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