LARRY CHRISTOPHER MARTIN (NPI# 1578516704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578516704 |
Entity Type | Individual |
Full Name | LARRY CHRISTOPHER MARTIN |
Credential | MD |
Practice Address |
2500 North State Street Jackson MS 39216-4505 |
Mailing Address |
2500 N State St Jackson MS 39216-4500 |
Practice Telephone | 6019845100 |
Practice Fax Number | 6019264978 |
Mailing Telephone | 6019256805 |
Mailing Fax Number | 6019264978 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2014-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | ME96706 | FL | Allopathic & Osteopathic Physicians |
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
21366 | MS | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
35070212 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 277064400 | 05 | |
AL | 157037 | 05 | |
MS | 00632515 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
1558529438 | Larry Martin Jr. | Orthopaedic Surgery | 2000 Wellness Blvd Ste 140, Monroe, NC 28110-3354 | 2008-05-28 |
1487850822 | Larry J Martin | Social Worker | 6736 Willow Hwy, Grand Ledge, MI 48837-8974 | 2007-06-22 |
1548326713 | Larry Steven Martin | Dentist | 1211 Nilles Rd, Fairfield, OH 45014-2911 | 2006-12-29 |
1194895391 | Larry T. Martin | Chiropractor | 17493 Highway 72, Rogersville, AL 35652-8109 | 2006-11-08 |
1134508807 | Larry Martin Jr. | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2015-05-27 |
1699001693 | Larry Gene Martin | Audiologist | 983 Nw Spruce Ave, Corvallis, OR 97330-2111 | 2009-10-26 |
1750542544 | Larry W Martin | Counselor | 2638 Two Notch Rd, Suite 106 Insights Program, Columbia, SC 29204-1432 | 2008-06-24 |
1447445572 | Larry Edward Martin | Dentist | 285 S Palm Canyon Dr Ste D7, Palm Springs, CA 92262-6360 | 2007-09-11 |
1497893150 | Larry K Martin | Psychiatry & Neurology | 125 Bank Street, Ste 310, Missoula, MT 59802 | 2007-02-02 |
Street Address |
2500 NORTH STATE STREET |
City | JACKSON |
State | MS |
Zip Code | 39216-4505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376549816 | John Joseph Sheehan Jr. | Internal Medicine | 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 | 2005-06-21 |
1912520370 | Janna Leigh Williams | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Dept of Emergency Medicine, Jackson, MS 39216 | 2020-05-20 |
1609498401 | Chin-qune Oliver Yeung Lai Wah | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216 | 2020-05-14 |
1689293250 | Karine Desouza | Family Medicine | 2500 North State Street, Attn: Department of Family Medicine, Jackson, MS 39216 | 2020-04-13 |
1225667249 | Mallory Browning | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216-4505 | 2020-04-02 |
1912490400 | Alberto Andres Arteaga | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc, Department of Otolaryngology - 5 East, Jackson, MS 39216 | 2018-06-11 |
1003309493 | Britton Postlethwaite Beatrous | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 | 2018-06-11 |
1750874145 | Joseph Alexander De Gruy | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 | 2018-06-11 |
1689161523 | Joshua Phillip Rouhan | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Department of Emergency Medicine, Jackson, MS 39216-4505 | 2018-04-17 |
1336660356 | Iram Aman | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216 | 2017-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
Find all providers in zip 39216 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053376889 | Loren Douglas Nelson | Surgery | 445 Flat Creek Dr # 3999, Jackson, WY 83001-9173 | 2006-04-17 |
1174093637 | Adam Welch | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-11-27 |
1306386586 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N East Ave, Jackson, MI 49201-1753 | 2017-03-07 |
1033291778 | Robert Eugene Schmieg Jr. | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-20 |
1487735122 | John M Porter | Surgery | 2500 N State St, Ummc Department of Surgery, Jackson, MS 39216-4500 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053326348 | David Lamar Spencer Sr. | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2006-07-29 |
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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.