GEORGE MARIO MARTINEZ (NPI# 1912182064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912182064 |
| Entity Type | Individual |
| Full Name | GEORGE MARIO MARTINEZ |
| Credential | CERTIFED PSYCHOLOGIC |
| Practice Address |
401 Bogle St Suite 102 Somerset KY 42503-3823 |
| Practice Telephone | 6066760638 |
| Practice Fax Number | 6066791889 |
| Mailing Telephone | 6066760638 |
| Mailing Fax Number | 6066791889 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
0186 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949521 | George J Martinez | Clinic/Center | 12516 Bryant St, Broomfield, CO 80020-3844 | 2019-12-14 |
| 1073507828 | George E Martinez | Internal Medicine | 750 N Cobb St, Ste 120, Milledgeville, GA 31061-2390 | 2005-09-08 |
| 1639665557 | George Albert Martinez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2018-07-03 |
| 1760510549 | George Martinez | Rehabilitation Practitioner | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-03-01 |
| 1639265051 | George Martin Martinez | Family Medicine | 2844 Summit St, Ste 106, Oakland, CA 94609-3641 | 2006-10-04 |
| 1841304318 | George Martinez | Internal Medicine | 1901 Veterans Memorial Dr, Temple, TX 76508-0001 | 2006-08-19 |
| 1528078086 | George B Martinez Jr. | Internal Medicine | 5500 E Kellogg Dr, Robert J.dole Va Medical Center, Wichita, KS 67218-1607 | 2006-08-08 |
| Street Address |
401 BOGLE ST SUITE 102 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491508 | Cyril George Kohrman | Urology | 401 Bogle St, Suite 103, Somerset, KY 42503-2850 | 2005-07-15 |
| 1770080913 | Ashley Hampton Ping | Counselor | 401 Bogle St, Somerset, KY 42503-3823 | 2018-04-12 |
| 1588077986 | Morrland Healthcare | Case Management | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2014-06-04 |
| 1679986079 | Morrland Healthcare | Case Management | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2014-06-04 |
| 1124441274 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-3823 | 2014-01-27 |
| 1235550914 | Brittany Smith | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-23 |
| 1518388321 | Terry Nelson | Social Worker | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
| 1447671284 | Angela Tucker | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
| 1194146936 | Kelly Cooper | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
| 1992126700 | Kesha Mcclure-hunley | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811016744 | Lori Ann Price | Psychologist | 181 Fern Dr, Somerset, KY 42501-5804 | 2007-03-29 |
| 1447379227 | Dustin E. Phelps | Psychologist | 465 S Highway 27 Ste 102, Somerset, KY 42501-3401 | 2007-03-29 |
| 1386122489 | Dr. Mike Gross, LLC | Psychologist | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2018-07-31 |
| 1073632873 | Joan T. Sanford | Psychologist | 401 Bogle St, Suite 102, Somerset, KY 42503-2850 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477034627 | Whitnie Wolsey | Psychologist | 2443 Lakeway Drive, Russell Springs, KY 42642-4264 | 2018-08-26 |
| 1659613917 | Steven D. Middleton | Psychologist | 1030 Commerce Dr, Elizabethtown, KY 42701-1281 | 2013-03-25 |
| 1679853568 | Lloyd Kevin Chapman | Psychologist | 9710 Park Plaze Ave, Suite 204, Louisville, KY 40241 | 2011-08-23 |
| 1003117722 | Jeffery T Mercer | Psychologist | 11003 Perwinkle Ln, Louisville, KY 40291-4104 | 2010-11-11 |
| 1942402367 | Donald G. Beal | Psychologist | 274 Southland Dr Ste 204, Lexington, KY 40503-1946 | 2007-06-05 |
| 1366655722 | Young-rivers Associates, P.s.c. | Psychologist | 4228 Ashleywood Ct., Louisville, KY 40241-1582 | 2007-05-08 |
| 1821008335 | Lena A Harmon | Psychologist | 1448 Diederich Blvd, Russell, KY 41169 | 2006-08-08 |
| 1639127558 | Thomas W Thornberry | Psychologist | 113 E Garrett St, Louisville, KY 40214-1771 | 2006-05-04 |
| 1013559921 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-11 |
| 1164901419 | Troy Cilone | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2018-08-08 |
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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.