MARTIN FAMILY PRACTICE PC (NPI# 1902091143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902091143 |
Entity Type | Organization |
Organization Name | MARTIN FAMILY PRACTICE PC |
Practice Address |
4405 Bellemeade Ave Ste 102 Evansville IN 47714-0682 |
Mailing Address |
4405 Bellemeade Ave Evansville IN 47714-0682 |
Practice Telephone | 8124375554 |
Practice Fax Number | 8124375577 |
Mailing Telephone | 8124375554 |
Mailing Fax Number | 8124375577 |
Enumeration Date | 2007-09-11 |
Last Update Date | 2013-10-08 |
Authorized Official Name | MARK A MARTIN (PHYSICIAN) |
Authorized Official Telephone | 8124375554 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 02002206A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200355030B | 05 |
Street Address |
4405 BELLEMEADE AVE STE 102 |
City | EVANSVILLE |
State | IN |
Zip Code | 47714-0682 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407851371 | Timothy M Crowley | Ophthalmology | 4405 Bellemeade Ave, Ste 101, Evansville, IN 47714-0682 | 2005-06-16 |
1649316936 | Eyesite Optical | Optometrist | 4405 Bellemeade Ave, Ste. 101, Evansville, IN 47714-0682 | 2007-01-30 |
1528119492 | Advanced Vision Associates LLC | Ophthalmology | 4405 Bellemeade Ave, Ste. 101, Evansville, IN 47714-0682 | 2007-01-16 |
1972519775 | Ralph D Millsaps, Md, PC | Internal Medicine | 4405 Bellemeade Ave, #102, Evansville, IN 47714-0682 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
Find all providers in zip 47714 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
1598252652 | Herbert Dan Adams | Family Medicine | 501 Wyndclyff Dr, Evansville, IN 47711-2789 | 2018-04-15 |
1326568775 | Midwest Scope LLC | Family Medicine | 1401 Professional Blvd Ste 100, Evansville, IN 47714-8011 | 2017-06-26 |
1609303015 | Kyle Lemond | Family Medicine | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2017-05-16 |
1871944041 | Anne Alexis | Family Medicine | 3801 Bellemeade Ave Ste 200b, Evansville, IN 47714-0114 | 2016-06-28 |
1760864987 | Jared D Mitchell | Family Medicine | 14020 Old State Rd Ste 100, Evansville, IN 47725-1121 | 2015-06-24 |
1396126710 | Lynniece A Kocher | Family Medicine | 8600 N Kentucky Avenue, Evansville, IN 47722 | 2015-06-11 |
1205194677 | Sanders Medical, LLC | Family Medicine | 2516 Washington Ave, Evansville, IN 47714-2404 | 2012-04-24 |
1194090308 | Kenneth E Yagodich, Md, PC | Family Medicine | 1200 Heinlein Rd, Evansville, IN 47725-6379 | 2012-03-21 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47714 |
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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.