DR. LESLIE F. MARTIN (NPI# 1811001464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811001464 |
Entity Type | Individual |
Full Name | DR. LESLIE F. MARTIN |
Credential | MD, MPH |
Practice Address |
1155 N Mayfair Rd Milwaukee WI 53226-3421 |
Mailing Address |
10000 W Innovation Dr Milwaukee WI 53226-4837 |
Practice Telephone | 4148053666 |
Mailing Telephone | 4144565006 |
Mailing Fax Number | 4144566259 |
Enumeration Date | 2006-08-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
32944 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31883900 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740676915 | Leslie Martin | Speech-Language Pathologist | 2070 Northbrook Blvd Ste A14, North Charleston, SC 29406-9284 | 2015-04-14 |
1518393578 | Leslie Erin Martin | Registered Nurse | 2634 Java Ct, Denver, CO 80211-4019 | 2013-09-23 |
1467778225 | Leslie Ann Martin | Occupational Therapy Assistant | 404 W Willow Rd, Dale, IN 47523-8947 | 2010-04-19 |
1972617918 | Leslie G. Martin | Social Worker | 11301 Wilshire Blvd # -256, Los Angeles, CA 90073-1003 | 2006-08-18 |
1154895688 | Leslie Ann Jensen Martin | Marriage & Family Therapist | 1025 S 3rd St, Renton, WA 98057-2765 | 2019-01-17 |
1952811804 | Leslie Martin | Massage Therapist | 20 Gilbert Ave, Smithtown, NY 11787-5326 | 2017-10-05 |
1700304979 | Leslie Martin | Specialist/Technologist | 2420 E 29th Ave Ste 100, Spokane, WA 99223-4868 | 2017-09-07 |
1043732530 | Leslie Mackenzie Martin | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2017-07-17 |
1154779619 | Leslie Martin | Counselor | 877 South St, Pittsfield, MA 01201-8242 | 2016-05-25 |
1285096990 | Leslie N. Martin | Counselor | 271 Columbia Blvd, Saint Helens, OR 97051-2021 | 2016-03-22 |
Street Address |
1155 N MAYFAIR RD |
City | MILWAUKEE |
State | WI |
Zip Code | 53226-3421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801873245 | Christina L Wichman | Psychiatry & Neurology | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2005-12-28 |
1184128381 | Shannon M Friedbacher | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2018-03-21 |
1003326745 | Kevin Bozymski | Pharmacist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-10-09 |
1770008492 | Judith Ann Evenson | Nurse Practitioner | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-08-03 |
1760914378 | Miles Bichanich | Plastic Surgery | 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 | 2017-04-02 |
1669913034 | Jennifer Orth | Occupational Therapist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-03-17 |
1093255549 | Legenda Gooding | Nurse Practitioner | 1155 N Mayfair Rd, Suite 1, Milwaukee, WI 53226-3462 | 2017-03-02 |
1932657699 | Tera Carman | Social Worker | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2016-09-12 |
1689120982 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-08-28 |
1275997645 | Amanda Liewen | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-04-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
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Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154434181 | Jane M. Kotchen | Preventive Medicine | 8701 W Watertown Plank Rd, Department of Population Health Clinic, Milwaukee, WI 53226-3548 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
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1093226144 | Healthstat Onsite Clinic Hsm Sheboygan | Preventive Medicine | 2216 S 24th St, Sheboygan, WI 53081-5548 | 2017-10-17 |
1467982751 | Healthstat Onsite Clinic Elmbrook School District | Preventive Medicine | 17000 W North Ave Ste 100e, Brookfield, WI 53005-4454 | 2017-06-19 |
1700315033 | Healthstat Onsite Clinic City of Racine | Preventive Medicine | 2333 Northwestern Ave Ste 114, Racine, WI 53404-2520 | 2017-06-09 |
1790224780 | Healthstat Onsite Clinic-alm Consolidated | Preventive Medicine | 920 10th Ave N Ste Wellness, Onalaska, WI 54650-2166 | 2017-02-23 |
1558805689 | Healthstat Onsite Clinic Alm Holdings | Preventive Medicine | 920 10th Ave N, Onalaska, WI 54650-2166 | 2016-12-08 |
1619411733 | Healthstat Onsite Clinic Jj Keller Appleton | Preventive Medicine | 5 Innovation Ct, Appleton, WI 54914-1742 | 2016-12-08 |
1851717698 | Carl Zenz | Preventive Medicine | S75w20937 Field Dr, Muskego, WI 53150-8934 | 2014-03-17 |
1083640502 | Constantine Dumas | Preventive Medicine | 2009 S Memorial Dr, Appleton, WI 54915-1222 | 2006-06-25 |
1710950266 | Jean Deuster | Preventive Medicine | 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 | 2006-02-07 |
1497726392 | Joseph Michael Zompa | Preventive Medicine | 3000 N Grandview Blvd, W-685, Waukesha, WI 53188-1615 | 2006-01-30 |
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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.