EDWARD A MARTINEZ (NPI# 1720233042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720233042 |
| Entity Type | Individual |
| Full Name | EDWARD A MARTINEZ |
| Credential | PA |
| Practice Address |
1212 N Highway 377 Suite 119 Roanoke TX 76262-6916 |
| Practice Telephone | 6828311591 |
| Practice Fax Number | 6828311598 |
| Mailing Telephone | 6828311591 |
| Mailing Fax Number | 6828311598 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2013-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04174 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE NUMBER | PA04174 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742895 | Edward Joseph Martinez | Behavior Technician | 400 W Ventura Blvd Ste 230, Camarillo, CA 93010-9142 | 2020-02-19 |
| 1720543366 | Edward Rafael Martinez | Counselor | 1516 E Colonial Dr, Orlando, FL 32803-4740 | 2019-02-07 |
| 1750893756 | Edward Martinez | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2017-10-30 |
| 1578983524 | Edward Justin Martinez | Urology | 75 Herrick St Ste 219, Beverly, MA 01915-5900 | 2014-04-17 |
| 1588096424 | Edward Anthony Martinez | Nurse Practitioner | 462 1st Ave, Anesthesiology Department 11e2 11th Floor, New York, NY 10016-9196 | 2013-08-02 |
| 1467792549 | Edward Martinez | Counselor | 402 S 4th Ave, Yakima, WA 98902-3546 | 2013-02-26 |
| 1114195286 | Edward Maury Martinez | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2008-02-12 |
| Street Address |
1212 N HIGHWAY 377 SUITE 119 |
| City | ROANOKE |
| State | TX |
| Zip Code | 76262-6916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225214505 | Kelly Jean Fox | Nurse Practitioner | 1212 N Highway 377, #119, Roanoke, TX 76262-6916 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025611 | Freeform Chiropractic Trophy Club LLC | Chiropractor | 2240 Sh 114, Suite 650, Trophy Club, TX 76262 | 2020-02-20 |
| 1932748498 | Legacy Physical Therapy and Wellness | Physical Therapist | 351 N Byron Nelson Blvd, Suite 110, Roanoke, TX 76262 | 2020-01-02 |
| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| Find all providers in zip 76262 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796749 | Rebecca Marie Swanson | Physician Assistant | 902 S Jefferson St Uppr Level, Roanoke, VA 24016-4404 | 2018-10-22 |
| 1154475267 | Wilton Craig Kennedy | Physician Assistant | 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 | 2007-01-23 |
| 1760567481 | Jason Eric Bailey | Physician Assistant | 2110 Carolina Ave Sw Fl 3, Roanoke, VA 24014-1742 | 2006-10-25 |
| 1083626436 | Laura White | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-08-13 |
| 1225099773 | Lucia Maria Kulhavy | Physician Assistant | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2006-03-31 |
| 1386613164 | Sharon Anne Crookshanks | Physician Assistant | 4461 Starkey Rd Ste 201, Roanoke, VA 24018 | 2006-03-15 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275197980 | Rashadah Jordan | Physician Assistant | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2019-04-29 |
| 1629561402 | Emily Marquina | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-06-07 |
| 1164930046 | Laura Buennemeyer | Physician Assistant | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2018-01-13 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on EDWARD A MARTINEZ.
| 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.