JEFFERY SCOTT MARTIN (NPI# 1700284916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700284916 |
| Entity Type | Individual |
| Full Name | JEFFERY SCOTT MARTIN |
| Credential | PHD |
| Practice Address |
1025 Femoyer St Bldg 10908 Jbsa Lackland TX 78236 |
| Mailing Address |
1025 Femoyer St Bldg 10908 Jbsa Lackland TX 78236-5443 |
| Practice Telephone | 2539821127 |
| Mailing Telephone | 2539821127 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1903 | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 Pitsenbarger Blvd Bldg 305, Joint Base Lewis Mcchord, WA 984381201 | 2539821127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776851 | Jeffery Martin | Driver | 348 Cemetery Rd, Pennington Gap, VA 24277-1526 | 2017-08-17 |
| 1518080787 | Jeffery D. Martin | Dentist | 91 N Saginaw St, Pontiac, MI 48342-2165 | 2007-04-10 |
| 1699759860 | Jeffery L Martin | Family Medicine | 406 Ames St, Baldwin City, KS 66006-3099 | 2005-12-01 |
| 1801109640 | Jeffery Chad Martin | Orthopaedic Surgery | 410 N State of Franklin Rd Ste 140, Johnson City, TN 37604-6972 | 2010-07-21 |
| 1558400739 | Jeffery R. Martin | Psychologist | 1010 Sir Francis Drake Blvd, Suite 2e, Kentfield, CA 94904-1417 | 2007-02-05 |
| 1811949563 | Jeffery Merle Martin | Pediatrics | 901 E Willetta St, Room 2503, Phoenix, AZ 85006-2727 | 2006-05-17 |
| 1578531125 | Jeffery Scott Martin | Surgery | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-09 |
| Street Address |
1025 FEMOYER ST BLDG 10908 |
| City | JBSA LACKLAND |
| State | TX |
| Zip Code | 78236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720558398 | Wafa Amayreh | Psychologist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2018-11-27 |
| 1154777241 | Chase Alan Aycock | Psychologist | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | 2016-05-09 |
| 1841686565 | Jennifer Coleman | Psychologist | Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236 | 2015-04-09 |
| 1134511124 | Edny Joseph Bryant | Psychologist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 | 2015-02-27 |
| 1487052486 | Zachary Fetterman | Psychologist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2014-12-08 |
| 1861731077 | Marylene Goode | Psychologist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2013-02-07 |
| 1215231626 | Elise Marie Ocelnik | Psychologist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9900 | 2010-12-28 |
| 1518156165 | Darlene Annette Wright | Psychologist | 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236 | 2007-10-19 |
| 1568670511 | Maryann Wasileski | Psychologist | 1515 Truemper St, Jbsa Lackland, TX 78236-5583 | 2007-05-21 |
| 1043380116 | Mario George Nicolas | Psychologist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2006-11-08 |
| Find all providers in JBSA LACKLAND | ||||
| City | JBSA LACKLAND |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on JEFFERY SCOTT 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.