SHELLEY L MARTIN (NPI# 1659464246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659464246 |
| Entity Type | Individual |
| Full Name | SHELLEY L MARTIN |
| Credential | PA |
| Practice Address |
7700 Fish Pond Rd Waco TX 76710-1031 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547614444 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA08427 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 00533 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457677395 | Shelley Martin | Marriage & Family Therapist | 7471 Rudell Rd, Corona, CA 92881-4278 | 2010-04-16 |
| 1134244015 | Shelley Marie Martin | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-20 |
| 1871670968 | Shelley L Martin | Chiropractor | 2855 Lawrenceville Suwanee Rd, Suite 760-318, Suwanee, GA 30024-3563 | 2006-11-01 |
| 1427079177 | Shelley Martin | Pediatrics | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2006-07-21 |
| 1770572539 | Shelley Martin | Nurse Anesthetist, Certified Registered | 17207 Kuykendahl Rd, Suite 200, Spring, TX 77379-8423 | 2005-10-14 |
| Street Address |
7700 FISH POND RD |
| City | WACO |
| State | TX |
| Zip Code | 76710-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298494 | Laura S Byas | Counselor | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2005-07-08 |
| 1053821504 | Ashley A Aaron | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2017-10-10 |
| 1174057855 | Holly Elaine Kimball | Clinical Nurse Specialist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2017-04-19 |
| 1215389846 | Alyce Danielle Alven | Optometrist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2016-07-07 |
| 1558741967 | Fernando Galindo | Physician Assistant | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2015-06-02 |
| 1649685462 | Jennifer Harwell | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710 | 2014-07-01 |
| 1932511276 | Lee Murphy | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-21 |
| 1881005031 | Adam Keith Jantz | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-09 |
| 1134470198 | Jamie Michele Olejarski | Internal Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-09-30 |
| 1700146586 | Allison Joy Achilefu | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245871052 | Elizabeth Leverson | Physician Assistant | 3912 Austin Ave, Waco, TX 76710-7127 | 2019-10-02 |
| 1063763225 | Jamie Lynn Laird | Physician Assistant | 5400 Crosslake Pkwy Ste 300, Waco, TX 76712 | 2012-09-27 |
| 1215116652 | Michael Paul Fichter Jr. | Physician Assistant | 7125 New Sanger Rd Ste A, Waco, TX 76712-4054 | 2007-11-02 |
| 1710090170 | Anthony B Balchunas | Physician Assistant | 601 W State Hwy 6, Ste 105, Waco, TX 76710-5575 | 2006-08-17 |
| 1902814544 | Fara Lynn Crawford | Physician Assistant | 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 | 2006-08-03 |
| 1316966286 | Donald Eugene Hicks | Physician Assistant | 4205 Franklin Ave, Waco, TX 76710 | 2006-07-19 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| 1073577953 | Richard James Hecker | Physician Assistant | 1226 Washington Ave, Waco, TX 76701-1127 | 2006-04-17 |
| 1669448718 | Patricia Ann Goaley | Physician Assistant | 1445 Stillwater Rd, Waco, TX 76708-7612 | 2006-02-28 |
| 1992771927 | Ashley Glover Baker | Physician Assistant | 50 Hillcrest Medical Blvd Ste 206, Waco, TX 76712-8954 | 2006-02-28 |
| Find all providers in WACO | ||||
Please comment or provide details below to improve the information on SHELLEY L 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.