MRS. MICHELLE ANN MARTIN (NPI# 1699124586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699124586 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE ANN MARTIN |
| Credential | COA |
| Practice Address |
8817 N 83rd St Omaha NE 68122-2268 |
| Practice Telephone | 4027072798 |
| Practice Fax Number | 4023911331 |
| Mailing Telephone | 4027072798 |
| Mailing Fax Number | 4023911331 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1101X |
Technician/Technologist Specialization: Ophthalmic Assistant |
156525 | NE | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516788 | Michelle Martin | Family Medicine | 15182 N 75th Ave # Uint180, Peoria, AZ 85381-4722 | 2020-01-06 |
| 1619430394 | Michelle Martin | Registered Nurse | 13610 Anderson Woods Dr, Houston, TX 77070-2853 | 2019-04-10 |
| 1659857704 | Michelle Martin | Physical Therapist | 3301 Long Prairie Rd Ste 125, Flower Mound, TX 75022-5908 | 2018-07-12 |
| 1619423605 | Michelle Nicole Martin | Physical Therapist | 10 Cairn Ln, Asheville, NC 28806-0045 | 2016-08-30 |
| 1427423086 | Michelle Martin | Occupational Therapist | 114 Asbury Dr, Wilmore, KY 40390-1115 | 2015-12-08 |
| 1629481874 | Michelle Martin | Psychologist | 25901 Emery Rd Ste 112, Cleveland, OH 44128-6213 | 2014-06-05 |
| 1841610763 | Michelle Martin | Contractor | 3644 S Jasmine Dr, Chandler, AZ 85286-1649 | 2014-04-17 |
| 1760829683 | Michelle K Martin | Rehabilitation Practitioner | 1061b Bunarch Rd, Pahrump, NV 89060-2440 | 2013-06-01 |
| 1700177367 | Michelle Victoria Martin | Speech-Language Pathologist | 1917 Appaloosa Dr, Greenwood, AR 72936-4972 | 2011-04-29 |
| 1578899787 | Michelle L Martin | Speech-Language Pathologist | 1109 Marion St #9, Denver, CO 80218 | 2009-10-22 |
| Street Address |
8817 N 83RD ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68122-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 156FX1101X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic Assistant |
| Definition to come... |
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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.