MARK MARTIN (NPI# 1578031860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578031860 |
| Entity Type | Individual |
| Full Name | MARK MARTIN |
| Credential | CCP |
| Practice Address |
6500 W Newberry Rd Gainesville FL 32605-4309 |
| Mailing Address |
3846 Sw 105th St Gainesville FL 32608-9554 |
| Practice Telephone | 3523334180 |
| Mailing Telephone | 3522154550 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763004 | Mark Martin | Technician, Other | 3041 S Charlton Park Rd, Hastings, MI 49058-8806 | 2016-11-28 |
| 1295707859 | Mark A Martin | Family Medicine | 2112 Pineshore Ct, Evansville, IN 47711-4473 | 2006-02-07 |
| 1164916805 | Mark Martin | Counselor | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-06-17 |
| 1073023024 | Mark Martin | Social Worker | 1835 Gilmore Ave, Lakeland, FL 33805 | 2017-10-04 |
| 1952728347 | Mark Martin | Case Manager/Care Coordinator | 3612 Cuming St, Omaha, NE 68131-1952 | 2014-03-24 |
| 1447576103 | Mark J Martin | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2010-04-20 |
| 1346490695 | Mark Martin | Counselor | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2008-09-23 |
| 1982726436 | Mark Blair Martin | Dentist | 910 E Grand Ave, Escondido, CA 92025-3430 | 2007-04-04 |
| 1346300043 | Mark Kevin Martin | Recreation Therapist | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2006-12-11 |
| 1689734097 | Mark R. Martin | Pharmacist | 510 S Elliott St, Pryor, OK 74361-6411 | 2006-12-08 |
| Street Address |
6500 W NEWBERRY RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073507000 | Yvette Bazikian | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2005-09-06 |
| 1851901110 | Bennies Medical Services LLC | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-08-03 |
| 1710515283 | Arilda Margjoni | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-31 |
| 1447888037 | Samuel Josef Leetmaa | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1578191185 | Sandra Pyda | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1699303297 | Allyson Heatwole Montalvo | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1326676941 | Benjamin Sinyor | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1164050787 | Nzinga Tafari | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1801424411 | Laura Sanchez | Student in an Organized Health Care Education/Training Program | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-30 |
| 1831725118 | Mohammad Farsakh Md Pa | Internal Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883026 | Lice Clinics of America Dade County | Perfusionist | 175 Fontainebleau Blvd Ste 1h, Miami, FL 33172-7012 | 2019-04-17 |
| 1942778527 | Patrick Thomas Davis | Perfusionist | 307 Burnt Pine Dr, Naples, FL 34119-9775 | 2018-11-13 |
| 1205376415 | Lice Away Today LLC | Perfusionist | 4308 W El Prado Blvd, Tampa, FL 33629-8405 | 2017-03-07 |
| 1124493226 | Franco Mora | Perfusionist | 1753 Sw 13th St, Unit # 4, Coral Gables, FL 33145-1477 | 2015-12-01 |
| 1215300454 | Ranie-ann Dominique Brown | Perfusionist | 3221 Nw 45th Ter, Lauderdale Lakes, FL 33319-5744 | 2015-11-10 |
| 1386021939 | John M Ingram Jr. | Perfusionist | 9632 Nw 7th Cir, Apt 1718, Plantation, FL 33324-7533 | 2015-05-04 |
| 1568878148 | Kenneth Mattson | Perfusionist | 1764 Scarlett Ave, North Port, FL 34289-9476 | 2014-07-03 |
| 1477967941 | Tunisia Ellis Penta | Perfusionist | 5801 Mango Cir, Naples, FL 34110-3403 | 2014-06-12 |
| 1720491012 | Shawn Phillips | Perfusionist | 17080 Safety St, Suite 109, Fort Myers, FL 33908-7506 | 2014-06-04 |
| 1669607131 | Hamandi Corporation | Perfusionist | 8813 Pinto Drive, Lake Worth, FL 33467 | 2009-05-27 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on MARK MARTIN.
| 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.