RICARDO S MARTIN JR. (NPI# 1831199868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831199868 |
| Entity Type | Individual |
| Full Name | RICARDO S MARTIN JR. |
| Credential | M.D. |
| Practice Address |
401 E Main St Johnson City TN 37601-4877 |
| Practice Telephone | 4237222057 |
| Practice Fax Number | 4235425109 |
| Mailing Telephone | 4237222057 |
| Mailing Fax Number | 4235425109 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 07269 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3150742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265780688 | Ricardo Martin | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2012-08-15 |
| Street Address |
401 E MAIN ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566824 | Bendik Clark | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2005-05-31 |
| 1205437647 | Reazyn Demoss | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2020-11-03 |
| 1396386165 | Michelle Elizabeth Jenkins | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2019-10-03 |
| 1427529551 | Kayla Beining | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2018-12-16 |
| 1205357977 | Joshua William Buck | Nurse Practitioner | 401 E Main St, Johnson City, TN 37604-5747 | 2017-07-03 |
| 1063962959 | Olivia Mckayla Barnett | Occupational Therapy Assistant | 401 E Main St, Johnson City, TN 37601-4877 | 2016-10-04 |
| 1194274563 | Sharon Trager | Occupational Therapist | 401 E Main St, Johnson City, TN 37601-4877 | 2016-09-27 |
| 1255789889 | Myra Hale | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2016-05-24 |
| 1689032666 | Lindsay Alexis Cox | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601 | 2016-02-04 |
| 1417320953 | Deanna Hensley | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1235469974 | Jeffrey Scott Wiseman | Surgery | 30 Harrison St Ste 455, Johnson City, NY 13790-2176 | 2009-12-31 |
| 1750301685 | Surgical Group of Johnson City, Mpc | Surgery | 310 N State of Franklin Rd Ste 404, Johnson City, TN 37604-6063 | 2006-07-21 |
| 1184660482 | Daniel Brooks Drinnen | Surgery | 300 E Main St Ste 301, Johnson City, TN 37601-5708 | 2006-06-22 |
| 1508821067 | James Bracken Burns Jr. | Surgery | Dogwood Ave, Bldg #1, Room 2-42, Johnson City, TN 37614 | 2006-04-19 |
| 1801851324 | Annamalai Periakaruppan | Surgery | 180 Harry L Dr, Johnson City, NY 13790-1566 | 2006-04-18 |
| 1588641187 | Michael J Hodge | Surgery | 2333 Knob Creek Rd Ste 16, Johnson City, TN 37604-2007 | 2005-12-27 |
| 1134119209 | Ghassem Mangouri | Surgery | 355 Riverside Dr, Johnson City, NY 13790-2708 | 2005-10-28 |
| 1437145687 | Paul Thurdekoos | Surgery | 3 Professional Park Dr, Suite 31, Johnson City, TN 37604-6529 | 2005-09-23 |
| 1700872959 | Kenneth E. Cutshall | Surgery | 3 Professional Park Dr Ste 31, Johnson City, TN 37604-6529 | 2005-09-23 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.