DR. KEVIN D MARTIN (NPI# 1801888219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801888219 |
| Entity Type | Individual |
| Full Name | DR. KEVIN D MARTIN |
| Credential | MD |
| Practice Address |
20 Medical Village Dr Ste 254 Edgewood KY 41017-5401 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593441600 |
| Practice Fax Number | 8593440091 |
| Mailing Telephone | 8593441600 |
| Mailing Fax Number | 8593440091 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 26395 | KY | Other Service Providers |
| N | 208600000X | Surgery | 26395 | KY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
26395 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 00660100 | 05 | |
| IN | 100354190A | 05 | |
| KY | RAILROAD MEDICARE | P00252697 | 01 |
| OH | RAILROAD MEDICARE | 770000278 | 01 |
| KY | 64788912 | 05 | |
| KY | 7100056850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681988 | Kevin Martin | Behavior Technician | 4760 Flintridge Dr # 125, Colorado Springs, CO 80918-4267 | 2018-09-05 |
| 1295949188 | Kevin L. Martin | Internal Medicine | 7 W 96th St Apt 1a, New York, NY 10025-6514 | 2007-05-09 |
| 1417179607 | Kevin John Martin | Chiropractor | 7136 Mlk Jr Way S, Ste 204, Seattle, WA 98118-3526 | 2007-05-03 |
| 1225162142 | Kevin Earl Martin | Chiropractor | 2513 Colorado Blvd, Los Angeles, CA 90041-1004 | 2007-03-15 |
| 1558405787 | Kevin Paul Martin | Optometrist | 201w Napa St 3, Sonoma, CA 95476-6621 | 2007-02-19 |
| 1952376295 | Kevin Mathew Martin | Dentist | 9450 W Russell Rd Ste 102, Las Vegas, NV 89148-5690 | 2006-02-21 |
| 1093347700 | Kevin Charles Martin | Physical Therapist | 170 Taylor Station Rd Ste 220, Columbus, OH 43213-4491 | 2020-02-11 |
| 1730675034 | Kevin Martin | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-10 |
| 1376030478 | Kevin Martin | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-04-16 |
| 1710484530 | Kevin Mark Martin | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2018-04-09 |
| Street Address |
20 MEDICAL VILLAGE DR STE 254 |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982517 | Michael Keith Davenport | Surgery | 20 Medical Village Dr Ste 254, Edgewood, KY 41017-5401 | 2005-06-17 |
| 1356752737 | Zachary Glenn | Surgery | 20 Medical Village Dr Ste 254, Edgewood, KY 41017-5401 | 2014-05-19 |
| 1013940956 | Eric R Wood | Physician Assistant | 20 Medical Village Dr Ste 254, Edgewood, KY 41017 | 2006-07-07 |
| 1790750172 | Joseph Michael Guenther Jr. | Surgery | 20 Medical Village Dr Ste 254, Edgewood, KY 41017-5401 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
| 1164757951 | Edward H Caldwell | Surgery | 580 S Loop Rd, Suite 201, Edgewood, KY 41017-3415 | 2009-10-12 |
| 1396820809 | Alexander H Hou | Surgery | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2006-10-25 |
| 1366485716 | David H Kim | Surgery | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658622 | Center for Vein Restoration Ky, LLC | Surgery | 2054 E Parrish Ave Ste A, Owensboro, KY 42303-1448 | 2016-09-23 |
| 1699066803 | Narayan Venguswamy Psc | Surgery | 1140 Lexington Rd # 101, Georgetown, KY 40324-9330 | 2011-04-21 |
| 1073833950 | Chen Rubinstein | Surgery | Cardiac Surgery of South Central Ky, 350 Park St Suite 210, Bowling Green, KY 42101 | 2010-06-02 |
| 1396064796 | Dong Hee Lee | Surgery | 800 Rose St # C225, Lexington, KY 40536-7001 | 2010-05-25 |
| 1053638734 | Samuel Chand Tyagi | Surgery | 800 Rose St # C212, Lexington, KY 40536-7001 | 2010-04-21 |
| 1447457247 | Sara Lynnea Cederstrand | Surgery | 1532 Lone Oak Road, Suite 405, Paducah, KY 42003-7942 | 2007-06-27 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| 1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
| 1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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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.