MATTHEW W MARTIN (NPI# 1780704932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780704932 |
| Entity Type | Individual |
| Full Name | MATTHEW W MARTIN |
| Credential | MD |
| Practice Address |
4511 Park Forest Drive Suite 210 Traverse City MI 49684 |
| Practice Telephone | 2319355770 |
| Practice Fax Number | 2319350747 |
| Mailing Telephone | 2319355770 |
| Mailing Fax Number | 2319350747 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 4301087749 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 17807049352 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1548646250 | Matthew Martin | Specialist | 5497 Northern Dancer, Springdale, AR 72762-8337 | 2015-08-04 |
| 1942602230 | Matthew Gordon Martin | Physical Therapist | 8400 Holcolm Bridge Road, Suite 480, Alpharetta, GA 30022 | 2014-09-18 |
| 1982044343 | Matthew Brian Martin | Dentist | 415 S Pendleton St, Easley, SC 29640-3072 | 2013-07-01 |
| 1336432293 | Matthew Martin | Counselor | 20 Wacker Drive, 1442, Chicago, IL 60606 | 2011-05-25 |
| 1902080823 | Matthew A. Martin | Pathology | 2311 Wilderness Hl, San Antonio, TX 78231-1838 | 2007-12-27 |
| 1033235569 | Matthew John Martin | Dentist | 1927 Broad Ripple Avenue, Indianapolis, IN 46220 | 2007-03-22 |
| 1386725802 | Matthew Robert Martin | Physical Therapist | 123 West Academy Street, Hughesville, PA 17737 | 2006-10-18 |
| 1215028709 | Matthew J. Martin | Physical Therapist | Usameddac Wuerzburg Physical Therapy Clinic, Unit 26610, Apo, AE 09244 | 2006-09-27 |
| 1477660025 | Matthew Burgess Martin | Dentist | 720 River Dr S Ste 200, Great Falls, MT 59405-1840 | 2006-08-23 |
| Street Address |
4511 PARK FOREST DRIVE SUITE 210 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760873525 | John Frederick Coleman | Anesthesiology | 10786 Peninsula Dr, Traverse City, MI 49686-9202 | 2015-02-13 |
| 1285628016 | Donald E. Kring Jr. | Anesthesiology | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2005-09-08 |
| 1942643382 | Austin Kerndt | Anesthesiology | 4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 | 2013-04-16 |
| 1679816227 | Patrick Joseph Darga | Anesthesiology | 4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 | 2013-04-02 |
| 1679863211 | Meri E Mcnulty | Anesthesiology | 1105 Sixth St, Traverse City, MI 49684-2349 | 2011-04-17 |
| 1366600066 | Aaron P Kurjan | Anesthesiology | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2008-05-29 |
| 1508063298 | Jennifer Caswell Schaffler | Anesthesiology | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2007-06-27 |
| 1376756643 | Catherine B Stoddard | Anesthesiology | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2007-05-07 |
| 1902024003 | The Surgery Center | Anesthesiology | 5080 N Royal Dr, Traverse City, MI 49684-9230 | 2007-04-23 |
| 1144278656 | Kamala Wright | Anesthesiology | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2006-05-05 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.