GARY MARTIN (NPI# 1689818064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689818064 |
| Entity Type | Individual |
| Full Name | GARY MARTIN |
| Credential | IDMT |
| Practice Address |
811 Grier Dr Las Vegas NV 89119-3704 |
| Mailing Address |
Po Box 19070 Las Vegas NV 89132-0070 |
| Practice Telephone | 8007790526 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801927843 | Gary Martin | Pharmacist | 242 W Shamrock St, Building 1, Pineville, LA 71360 | 2007-03-09 |
| 1679507081 | Gary Christopher Martin | Dentist | 3101 Edwards Mill Rd Ste 109, Raleigh, NC 27612-5303 | 2006-07-10 |
| 1174579841 | Gary S. Martin | Chiropractor | 3499 Duluth Park Ln, Suite 110, Duluth, GA 30096-5714 | 2006-05-25 |
| 1982692257 | Gary A Martin | Psychologist | 916 W Seldon Ln, Phoenix, AZ 85021-4450 | 2005-10-11 |
| 1912063447 | Gary Roy Martin | Psychologist | 1 Pine St, Burlington, VT 05401-4422 | 2006-12-29 |
| 1326126673 | Gary Dewayne Martin Jr. | Chiropractor | 14444 Dallas Pkwy, Suite 115, Dallas, TX 75254-8304 | 2006-11-02 |
| 1295821767 | Gary Victor Martin | Internal Medicine | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-10-04 |
| 1689779381 | Gary L Martin | Nurse Anesthetist, Certified Registered | 3500 E Frank Phillips Blvd, Jpmc Anesthesia Dept, Bartlesville, OK 74006-2411 | 2006-09-14 |
| 1609970730 | Gary Paul Martin | Dentist | 605 E 4th St, Marshfield, WI 54449-4519 | 2006-09-11 |
| 1356359756 | Gary Martin | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-08-03 |
| Street Address |
811 GRIER DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494484 | Maximilian Samuel Lee | Emergency Medicine | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2005-08-19 |
| 1518197078 | Tanya Lane Hatfield | Military Health Care Provider | 811 Grier Dr, Suite B, Las Vegas, NV 89119-3704 | 2009-07-19 |
| 1912141011 | George Steven Cum | Military Health Care Provider | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2009-04-21 |
| 1124203500 | Scott Swingle | Physician Assistant | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033607478 | Steven Correa | Military Health Care Provider | 4700 Las Vegas Blvd N # 1300, Las Vegas, NV 89191-6600 | 2018-05-01 |
| 1518483320 | Jessica Ann Ewers | Military Health Care Provider | 8701 W Gilmore Ave, Las Vegas, NV 89129-7687 | 2017-08-15 |
| 1306175096 | Ta'wana L Jones | Military Health Care Provider | 1900 Las Vegas Blvd, Las Vegas, NV 89110 | 2009-12-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1346483500 | Brandy R Williams | Military Health Care Provider | 9303 Gilcrease Ave, Unit 1207, Las Vegas, NV 89149-0199 | 2009-04-16 |
| 1528604758 | Nicholas Brown Dyches | Military Health Care Provider | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2019-11-22 |
| 1235637000 | Jeffrey Allen Villalpando | Military Health Care Provider | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2018-01-26 |
| 1598190878 | Jonathan Christian Gomez | Military Health Care Provider | 4311 Carswell Ave, Bldg 340, Las Vegas, NV 89191-7069 | 2013-09-05 |
| 1043554462 | Ryan Mosiah King | Military Health Care Provider | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2012-11-26 |
| 1588914295 | Jill S Dowd | Military Health Care Provider | 4700 North Las Vegas Blvd, Las Vegas, NV 89115 | 2012-09-11 |
| Find all providers in LAS VEGAS | ||||
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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.