DR. PHILLIP K MARTIN (NPI# 1619420718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619420718 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP K MARTIN |
| Credential | PHD |
| Practice Address |
7829 E Rockhill St Attn: Credentialing Wichita KS 67206-3920 |
| Mailing Address |
1010 N Kansas St Ste 3054 Attn: Credentialing Wichita KS 67214-3124 |
| Practice Telephone | 3162933850 |
| Practice Fax Number | 8558818087 |
| Mailing Telephone | 3162932611 |
| Mailing Fax Number | 3162931882 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2379 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871745307 | Phillip Sidney Martin | Dentist | 15511 Annapolis Rd Ste 540, Bowie, MD 20715-3014 | 2008-10-15 |
| 1275580680 | Phillip Allan Martin | Emergency Medicine | 6425 Lynch Canyon Dr, Lake Isabella, CA 93240-9726 | 2006-05-30 |
| 1043708837 | Phillip Martin | Community Health Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2018-04-26 |
| 1497108898 | Phillip Martin | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2016-07-20 |
| 1891171328 | Phillip Martin | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2015-08-06 |
| 1982900908 | Phillip Ronald Martin | Dentist | 844 S Marion Ave, Lake City, FL 32025-5855 | 2011-02-09 |
| 1225369440 | Phillip A Martin | Nurse Anesthetist, Certified Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2010-01-28 |
| Street Address |
7829 E ROCKHILL ST ATTN: CREDENTIALING |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919859 | Diagnostic Ultrasound Services, Inc. | Clinic/Center | 7829 E Rockhill St, Wichita, KS 67206-3914 | 2005-08-18 |
| 1538637566 | Samuel Joseph Reals | Chiropractor | 7829 E Rockhill St, Wichita, KS 67206 | 2018-11-07 |
| 1568902476 | Jennifer Lynn Lemons | Counselor | 7829 E Rockhill St, Suite 305, Wichita, KS 67206-3920 | 2017-02-27 |
| 1467900894 | Kansas University School of Medicine - Wichita | Clinic/Center | 7829 E Rockhill St, Wichita, KS 67206-3920 | 2016-09-14 |
| 1215397609 | Rachel Sparks | Chiropractor | 7829 E Rockhill St, 303, Wichita, KS 67206 | 2016-02-29 |
| 1417312075 | Ict Muscle & Joint Clinic, LLC | Chiropractor | 7829 E Rockhill St, 303, Wichita, KS 67206-3920 | 2015-12-28 |
| 1649659467 | Keith Sparks | Chiropractor | 7829 E Rockhill St, Ste 303, Wichita, KS 67206-3914 | 2015-05-26 |
| 1972980555 | Logan Reich | Marriage & Family Therapist | 7829 E Rockhill St, Suite 105, Wichita, KS 67206-3920 | 2015-05-02 |
| 1710300884 | Breanna Burns | Marriage & Family Therapist | 7829 E Rockhill St, Suite 305, Wichita, KS 67206-3920 | 2014-01-27 |
| 1154680023 | Ryan Schroeder | Clinical Neuropsychologist | 7829 E Rockhill St, Ste. 105, Wichita, KS 67206-3920 | 2012-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368157 | Neuropsychology Services of Kansas | Clinical Neuropsychologist | 10111 E 21st St N Ste 401, Wichita, KS 67206-3581 | 2020-02-19 |
| 1407290497 | Philip Louis Rambo | Clinical Neuropsychologist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2013-04-22 |
| 1154680023 | Ryan Schroeder | Clinical Neuropsychologist | 7829 E Rockhill St, Ste. 105, Wichita, KS 67206-3920 | 2012-05-11 |
| 1518286152 | Kelli L Netson | Clinical Neuropsychologist | 7829 E Rockhill St, Suite #105, Wichita, KS 67206-3920 | 2010-05-21 |
| 1881843902 | Robin Heinrichs | Clinical Neuropsychologist | 7829 E Rockhill St, Suite #105, Wichita, KS 67206-3920 | 2008-09-12 |
| 1447408273 | Shelley Jo Mcdaniel | Clinical Neuropsychologist | 8338 W 13th St N, Wichita, KS 67212-2900 | 2008-09-04 |
| 1821107087 | Anita S Blair | Clinical Neuropsychologist | 9333 E 21st St N, Wichita, KS 67206-2927 | 2006-08-30 |
| 1952378515 | Lyle E Baade | Clinical Neuropsychologist | 7829 E Rockhill St, Suite #105, Wichita, KS 67206-3920 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982081162 | Adam C Parks | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2015-04-27 |
| 1275897597 | Meredith Lubow | Clinical Neuropsychologist | 14105 Stearns St, Overland Park, KS 66221-8089 | 2012-07-02 |
| 1588954200 | Jared Bruce | Clinical Neuropsychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2011-04-14 |
| 1134328420 | David R. Mouille | Clinical Neuropsychologist | 4786 Black Swan Dr, Shawnee, KS 66216-1235 | 2007-07-16 |
| 1134274822 | Sally Ann Frutiger | Clinical Neuropsychologist | Center for Neuropsychology, University of Kansas Hospital, Kansas City, KS 66160-0001 | 2007-01-24 |
| 1477648111 | Eric Phillip Ecklund-johnson | Clinical Neuropsychologist | University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 1059, Kansas City, KS 66160-0001 | 2006-10-04 |
| 1427061209 | Melinda Anne Shaver | Clinical Neuropsychologist | 201 N Penn Ave, Suite 507, Independence, KS 67301-3357 | 2006-08-14 |
| 1427053784 | Marc A Quillen | Clinical Neuropsychologist | 4217 Briarwood Dr, Lawrence, KS 66049-1998 | 2005-06-14 |
| 1770197790 | Amanda Brunette | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2020-09-08 |
| 1447796420 | Keith Kobes, LLC | Clinical Neuropsychologist | 8575 W. 110th St, 218, Overland Park, KS 66210-2620 | 2017-01-13 |
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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.