MR. MARTIN LIGHT (NPI# 1568623544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568623544 |
| Entity Type | Individual |
| Full Name | MR. MARTIN LIGHT |
| Practice Address |
330 Branchport Dr Chesterfield MO 63017-2902 |
| Practice Telephone | 3144693484 |
| Practice Fax Number | 3144693484 |
| Mailing Telephone | 3144693484 |
| Mailing Fax Number | 3144693484 |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2008-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | $$$$$$$$$ | Other Service Providers |
| Street Address |
330 BRANCHPORT DR |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366082331 | Aric Anquain Mayo | Contractor | 8137 Seaview Dr, Chesterfield, VA 23838-5109 | 2020-01-08 |
| 1013484401 | Carla Smith | Contractor | 8413 Boones Trail Rd, Chesterfield, VA 23832-7684 | 2018-10-24 |
| 1790251338 | Michael Anthony Wilkins | Contractor | 7563 Sambar Rd, Chesterfield, VA 23832-6628 | 2018-10-22 |
| 1639653645 | Jazmin Leonna Budd | Contractor | 7230 Drexelbrook Rd, Chesterfield, VA 23832-8235 | 2018-09-17 |
| 1619157799 | Jerry Huber | Contractor | 743 Spirit 40 Park Dr, Ste 121, Chesterfield, MO 63005-1129 | 2007-11-06 |
| 1750988192 | Shannon Renee Blankenship | Contractor | 14341 Generation Ln, Chesterfield, VA 23838-4200 | 2020-10-08 |
| 1033418645 | Mary Domhan | Contractor | 6800 Lucy Corr Blvd, Chesterfield, VA 23832 | 2011-03-22 |
| 1467773440 | Mikaela Herschelman | Contractor | 16216 Baxter Rd Ste 330, Chesterfield, MO 63017-4778 | 2010-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534805 | Limitless Evolution LLC | Contractor | 3524 Osage Beach Pkwy, Osage Beach, MO 65065-5622 | 2020-10-06 |
| 1275142630 | Jennifer Dawn Feltner | Contractor | 303 N Stadium Blvd Ste 227, Columbia, MO 65203-1493 | 2020-07-30 |
| 1609490341 | Kimberly Kaye Stevenson | Contractor | 518 Ne Malibu Dr, Lees Summit, MO 64064-2001 | 2020-05-28 |
| 1154969426 | Midwest Health Care Inc. | Contractor | 326 S Mount Auburn Rd Ste 201, Cape Girardeau, MO 63703-4907 | 2019-12-17 |
| 1154983518 | Eric Williams | Contractor | 11515 Gamel Cemetery Rd, Festus, MO 63028-2310 | 2019-07-05 |
| 1770053449 | Shaunda L Hamilton | Contractor | 3109 Jenne Hill Dr, Columbia, MO 65202-4060 | 2018-11-26 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1568906162 | Daniel Draper | Contractor | 515 Andrews Ave, Dixon, MO 65459-6010 | 2016-12-15 |
| 1033651138 | Aaron Barnes | Contractor | 17508 Plattsburg Rd, Holt, MO 64048-8965 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on MR. MARTIN LIGHT.
| 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.