DR. HOWARD DOUGLAS MARTIN (NPI# 1922027333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922027333 |
Entity Type | Individual |
Full Name | DR. HOWARD DOUGLAS MARTIN |
Credential | M.D. |
Practice Address |
110 Liberty St Brockton MA 02301-5521 |
Mailing Address |
680 Centre St Brockton MA 02302-3308 |
Practice Telephone | 5088940400 |
Practice Fax Number | 5088940757 |
Mailing Telephone | 5088940400 |
Mailing Fax Number | 5088940757 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2015-08-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
53783 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | TUFTS | 712792 | 01 |
MA | BLUE CROSS BLUE SHIELD | J03982 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487999108 | Howard Martin | Dentist | 12549 Ansin Circle Dr, Potomac, MD 20854-6912 | 2012-12-06 |
1134463102 | Howard M Martin II | Chiropractor | 77-6399 Nalani St, Suite 3, Kailua Kona, HI 96740-8980 | 2012-11-15 |
1386702777 | Howard Clyde Martin | General Practice | 1060 W Argyle St, Argyle Medical Center, Chicago, IL 60640 | 2006-12-05 |
1629143631 | Howard Samuel Martin | Chiropractor | 2128 Ferrell Ave, Los Osos, CA 93402-3227 | 2006-11-22 |
1366421927 | Howard L Martin IIi | Pathology | 4131 Directors Row, Houston, TX 77092-8703 | 2006-01-12 |
1205810835 | Howard Jerome Martin | Dentist | 95 Martin Luther King Jr Dr, Jersey City, NJ 07305-3025 | 2005-12-06 |
1689831828 | Howard James Martin II | Counselor | 8625 King George Dr, Ste.111, Dallas, TX 75235-2215 | 2008-05-16 |
Street Address |
110 LIBERTY ST |
City | BROCKTON |
State | MA |
Zip Code | 02301-5521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164416186 | Aqeel Siddiqui | Surgery | 110 Liberty St, Brockton, MA 02301-5521 | 2005-09-06 |
1902404981 | Sara Louise Borrello | Dietitian, Registered | 110 Liberty St, Brockton, MA 02301-5674 | 2020-10-13 |
1134735392 | Meredith Celine Harrington | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2020-09-22 |
1356951784 | Adam S Donahue | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5674 | 2020-07-31 |
1427603851 | Kristen Laura Barrett | Registered Nurse | 110 Liberty St, Brockton, MA 02301-5674 | 2019-08-02 |
1427611722 | Donovan Kelly | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5674 | 2019-04-22 |
1316411481 | Cassandra Desjardins | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2019-01-11 |
1407353154 | Dean Robert Howell | Social Worker | 110 Liberty St, Brockton, MA 02301-5674 | 2018-04-10 |
1619473725 | Patricia L Ramanauskas | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2018-04-05 |
1588182323 | Alicia Reid | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2017-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
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Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225518848 | Leah Witkin | Orthopaedic Surgery | 55 Fruit St Ste 3800, Boston, MA 02114-2621 | 2018-08-14 |
1104195981 | Kshitij Chaudhary | Orthopaedic Surgery | 44 Washigton Street #217, Brookline, MA 02445 | 2011-12-22 |
1376657056 | James Cushing Bayley | Orthopaedic Surgery | 736 Cambridge St # Ccp-9, Bone and Joint Center, Boston, MA 02135-2907 | 2006-08-18 |
1558316166 | Boston Spine Group, LLC. | Orthopaedic Surgery | 299 Washington Street, Newton, MA 02458-1612 | 2006-05-23 |
1841292414 | Frank X Pedlow Jr. | Orthopaedic Surgery | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2005-08-12 |
1285636993 | Louis G Jenis | Orthopaedic Surgery | 299 Washington St, Newton, MA 02458-1612 | 2005-08-12 |
1619507043 | Boston Orthopaedic & Spine LLC | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2020-01-24 |
1679132070 | Boston Orthopedic Spine Care Inc | Orthopaedic Surgery | 822 Boylston St, Chestnut Hill, MA 02467-2595 | 2019-06-10 |
1962889295 | Robert J. Banco, Md, PC | Orthopaedic Surgery | 25 Washington St, Unit # 1-b, Wellesley, MA 02481-1752 | 2015-05-06 |
1619399961 | Paul Glazer, Md, LLC | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2014-01-06 |
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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.