JESUS A MARTINEZ MD PC


Address: 2012 Monroe Blvd Suite 104, Dearborn, MI 48124
Phone: 3133590222

JESUS A MARTINEZ MD PC (NPI# 1598989238) 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) 1598989238
Entity Type Organization
Organization Name JESUS A MARTINEZ MD PC
Practice Address 2012 Monroe Blvd Suite 104
Dearborn
MI 48124
Practice Telephone 3133590222
Mailing Telephone 3133590222
Enumeration Date 2007-04-12
Last Update Date 2018-06-21
Authorized Official Name JESUS MARTINEZ (GENERAL PRACTICE)
Authorized Official Telephone 3133590222
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice JM031056 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4241325 05

Office Location

Street Address 2012 MONROE BLVD SUITE 104
City DEARBORN
State MI
Zip Code 48124

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932524337 Marilyn Lasovage General Practice 24911 Newton St, Dearborn, MI 48124-1557 2014-02-22
1821374257 Daniel C Harris General Practice 3326 Syracuse St, Dearborn, MI 48124-3320 2011-10-31
1700171725 Orthopedic PC General Practice 24155 Penn State, Dearborn, MI 48124 2011-06-17
1114125382 Patricia A Bermudez General Practice 1315 Robindale Ave, Dearborn, MI 48128-1012 2007-07-10
1255427472 Fares Fehmi Yasin General Practice 4634 Greenfield Rd, Dearborn, MI 48126-2844 2006-10-05
1629018296 Sardar Asim Zaman General Practice 6434 Mead St, Dearborn, MI 48126-2042 2006-06-08
1619947819 Sai Lakshmi Kanneganti General Practice 5050 Schaefer Rd, Dearborn, MI 48126-3249 2006-01-23
1306329651 Chc Medical Group General Practice 10326 W Warren Ave, Dearborn, MI 48126-1659 2018-09-12
1407341001 Fares Yasin General Practice 24418 Michigan Ave, Dearborn, MI 48124-1837 2018-06-26
1164812582 Senior Care Physicians General Practice 4241 Maple St, Suite 200c, Dearborn, MI 48126-3826 2015-01-24
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Competitor

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City DEARBORN
Zip Code 48124

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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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