ANDREW D MARTIN (NPI# 1720061179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720061179 |
| Entity Type | Individual |
| Full Name | ANDREW D MARTIN |
| Credential | DPM |
| Practice Address |
4650 Southwest Hwy Oak Lawn IL 60453 |
| Practice Telephone | 7084243201 |
| Practice Fax Number | 7084245001 |
| Mailing Telephone | 7084243201 |
| Mailing Fax Number | 7084245001 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016005084 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | 480034880 | 01 |
| IL | 016-005084 | 05 | |
| IL | AETNA | 7416406 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978217 | Andrew Martin | Pharmacist | 800 Washington St # 420, Boston, MA 02111-1552 | 2020-03-23 |
| 1063873149 | Andrew Martin | Health Educator | 1915 S 25th Ave, Maywood, IL 60153-2825 | 2016-03-16 |
| 1275955510 | Andrew Martin | Counselor | 3701 Riverside Dr Apt 5, Tulsa, OK 74105-3059 | 2014-01-06 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1912274317 | Andrew Charles Martin | Physical Therapist | 1608 S 24th Ave, Suite 102, Yakima, WA 98902-5719 | 2011-11-30 |
| 1780813568 | Andrew P Martin | Dentist | 844 South Marion Avenue, Lake City, FL 32025 | 2009-07-14 |
| 1417007345 | Andrew S Martin | Specialist | 5546 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-7692 | 2007-01-11 |
| 1164590923 | Andrew Lee Martin | Psychologist | 9 Charlton St, Princeton, NJ 08540 | 2006-12-01 |
| 1740354950 | Andrew Ryan Martin | Internal Medicine | 8164 Nw 122nd Ln, Parkland, FL 33076-4938 | 2006-11-20 |
| 1104883693 | Andrew J Martin | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-04-27 |
| Street Address |
4650 SOUTHWEST HWY |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837958 | Foot & Ankle Associates Ltd | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453 | 2005-11-10 |
| 1992238786 | Brandon Thomas Kunz | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2017-04-07 |
| 1093153124 | Sarah Kaye Mahowald | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2013-06-11 |
| 1023350519 | Darshan Nagesh | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2013-03-22 |
| 1255684635 | Yelena Boumendjel | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2012-10-22 |
| 1295751956 | Midwest Ma, LLC | Anesthesiology | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2006-07-14 |
| 1508845884 | Illinois Center for Foot & Ankle Surgery Inc | Clinic/Center | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2006-01-13 |
| 1649252099 | Emil J Zager | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453 | 2005-11-18 |
| 1194707059 | John F Grady | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962625681 | Laura Linde | Podiatrist | 4650 Southwest Highway, Oak Lawn, IL 60453 | 2007-04-11 |
| 1407837958 | Foot & Ankle Associates Ltd | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453 | 2005-11-10 |
| 1649269556 | Noel G Frank | Podiatrist | 4701 W 95th St, Oak Lawn, IL 60453-2515 | 2005-10-14 |
| 1811985351 | David Emanuel Finkelstein | Podiatrist | 4603 W 103rd St, Oak Lawn, IL 60453-4718 | 2005-10-10 |
| 1831197052 | Dale M Smith | Podiatrist | 5405 W 95th St, Oak Lawn, IL 60453-2349 | 2005-07-12 |
| 1003444266 | Roberto Caneva | Podiatrist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-31 |
| 1447888094 | Daniel Ryan | Podiatrist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-03-30 |
| 1992238786 | Brandon Thomas Kunz | Podiatrist | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 | 2017-04-07 |
| 1497108658 | Foot & Ankle Health Center, P.C. | Podiatrist | 5716 W 95th St, Oak Lawn, IL 60453-2345 | 2016-07-22 |
| 1689913337 | Mathes Podiatry Ltd. | Podiatrist | 6311 W 95th St, Oak Lawn, IL 60453-2201 | 2013-01-31 |
| Find all providers in OAK LAWN | ||||
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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.