DR. ROGELIO MARTINEZ II (NPI# 1760815518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760815518 |
| Entity Type | Individual |
| Full Name | DR. ROGELIO MARTINEZ II |
| Credential | M.D. |
| Practice Address |
5912 Tennessee Ave, Hhb 101 Fort Campbell TN 42223 |
| Mailing Address |
8901 Wisconsin Ave Psychiatry Building 19 Rm 6407 Bethesda MD 20889-0004 |
| Practice Telephone | 2707984269 |
| Mailing Telephone | 3012954503 |
| Mailing Fax Number | 3013198128 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28666 | NE | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
28666 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1306367925 | Rogelio Martinez Sr. | Counselor | 16 E 16th St, New York, NY 10003-3105 | 2017-07-05 |
| 1902047087 | Rogelio Avila Martinez | Anesthesiology | 6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75240-6524 | 2009-03-18 |
| Street Address |
5912 TENNESSEE AVE, HHB 101 |
| City | FORT CAMPBELL |
| State | TN |
| Zip Code | 42223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205221892 | John Fernando Chaves | Psychiatry & Neurology | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-04-01 |
| 1669891925 | Elizabeth Langley Martinez | Psychiatry & Neurology | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2014-04-15 |
| 1679821334 | Aaron Kevin Andersen | Psychiatry & Neurology | 650 Joel Dr, Fort Campbell, KY 42223 | 2012-08-28 |
| 1639433360 | Dominique Starr Crosby | Psychiatry & Neurology | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2012-06-27 |
| 1740557727 | Russell Allen Huffman | Psychiatry & Neurology | 650 Joel Drive, Fort Campbell, KY 42223 | 2011-11-19 |
| 1063560183 | Thomas Ryan Magra | Psychiatry & Neurology | 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5318 | 2007-01-08 |
| 1811052160 | Jennifer Travis Lange | Psychiatry & Neurology | Blanchfield Army Community Hospital, 650 Joel Drie, Fort Campbell, KY 42223-5349 | 2006-12-27 |
| 1598875544 | Samuel Fam | Psychiatry & Neurology | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2006-08-30 |
| 1033133061 | Balakrishna Mohan Rao | Psychiatry & Neurology | 650 Joel Dr, Fort Campbell, KY 42223 | 2006-07-26 |
| 1205804317 | Bret W. Logan | Psychiatry & Neurology | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2006-03-14 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.