MS. STACY ANN MARTIN (NPI# 1891748315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891748315 |
| Entity Type | Individual |
| Full Name | MS. STACY ANN MARTIN |
| Credential | MD |
| Practice Address |
170 North 1100 East American Fork UT 84003 |
| Mailing Address |
Po Box 430 Spanish Fork UT 84660-0430 |
| Practice Telephone | 8017146570 |
| Mailing Telephone | 8668987136 |
| Mailing Fax Number | 6169759827 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | EMTL-2020-001 | GU | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MTL-2018-027 | GU | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
341513 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECT HEALTH | 107008020102 | 01 |
| UT | D2015 | 05 | |
| UT | DESERET MUTUAL | 491910 | 01 |
| UT | EDUCATORS MUTUAL | 870636000MA1 | 01 |
| UT | BCBS | 97341513101001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1710403514 | Stacy L Martin | Student in an Organized Health Care Education/Training Program | 1500 S Avenue K # 3, Portales, NM 88130-7400 | 2017-08-14 |
| 1699143784 | Stacy Martin | Physical Therapy Assistant | 300 Strode Ave, Coatesville, PA 19320-2874 | 2015-09-08 |
| 1407239585 | Stacy Martin | Counselor | 3e Cleveland Ct, Greenville, SC 29607-2414 | 2015-07-07 |
| 1730512567 | Stacy Erin Martin | Counselor | 141 Loire Valley Dr, Pittsburgh, PA 15209-1070 | 2013-08-15 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| 1295987162 | Stacy A. Martin | Social Worker | 2005 Mclain St, Newport, AR 72112-3662 | 2008-10-22 |
| 1760688907 | Stacy Martin | Behavioral Analyst | 882 Eastchester Dr, Gahanna, OH 43230-5137 | 2007-06-25 |
| 1992763569 | Stacy D Martin | Nurse Practitioner | 1566 Pea Ridge Rd, Scottsville, KY 42164-7702 | 2006-05-03 |
| 1174132435 | Stacy A Martin | Nurse Practitioner | 4896 Highway 90 Ste A, Marianna, FL 32446-7840 | 2020-07-23 |
| Street Address |
170 NORTH 1100 EAST |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669425146 | L. Scott Vanwagoner | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-18 |
| 1528095395 | Brenda M Crawford | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-06-27 |
| 1770539744 | Lenard C Brunsdale | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-25 |
| 1477507200 | Michael S Young | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-19 |
| 1952354789 | Bradley J Bentley | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-19 |
| 1487607974 | Dean W Shelton | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669425146 | L. Scott Vanwagoner | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-18 |
| 1134177876 | North Valley Emergency Physicians Lc | Emergency Medicine | 170 N 1100 E, American Fork, UT 84003-2096 | 2006-05-05 |
| 1528095395 | Brenda M Crawford | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-06-27 |
| 1770539744 | Lenard C Brunsdale | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-25 |
| 1477507200 | Michael S Young | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-19 |
| 1467405266 | Dale W Greenwood | Emergency Medicine | 170 N 1100 E, American Fork, UT 84003-2096 | 2006-05-19 |
| 1952354789 | Bradley J Bentley | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-19 |
| 1487607974 | Dean W Shelton | Emergency Medicine | 170 North 1100 East, American Fork, UT 84003 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243426 | Rodney L Hammer | Emergency Medicine | 179 N Main St Ste 309, Logan, UT 84321-5143 | 2020-10-20 |
| 1982246047 | Gessner Peterson House Calls Inc | Emergency Medicine | 41 E 400 N # 316, Logan, UT 84321-4020 | 2019-10-10 |
| 1467018143 | Chapman Integrative Health Pllc | Emergency Medicine | 216 S. Main St., Spring City, UT 84662-0039 | 2019-05-17 |
| 1437437589 | Jeff Johnson Clawson | Emergency Medicine | 139 E South Temple, Suite 500, Salt Lake City, UT 84111-1103 | 2011-07-22 |
| 1548463508 | Michael D Dowdall | Emergency Medicine | 381 Middle Oak Ln, Salt Lake City, UT 84108-1649 | 2007-06-07 |
| 1669562419 | Emergency Physicians Integrated Care, LLC | Emergency Medicine | 2500 S State St, Salt Lake City, UT 84115-3110 | 2006-10-13 |
| 1598866691 | Devon E. Dahlke | Emergency Medicine | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2006-09-25 |
| 1013926393 | Robert W Grow | Emergency Medicine | 5475 Adams Ave Pkwy, Ogden, UT 84405-6905 | 2006-08-05 |
| 1316967888 | Peter S Lenz | Emergency Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1033139589 | Kathleen C Besser | Emergency Medicine | 8th Avenue C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | AMERICAN FORK |
| Zip Code | 84003 |
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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.