MARTIN W KIDDER (NPI# 1922654169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922654169 |
| Entity Type | Individual |
| Full Name | MARTIN W KIDDER |
| Practice Address |
270 E Hill Rd Canton CT 06019-2117 |
| Practice Telephone | 8608034674 |
| Mailing Telephone | 8608034674 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
270 E HILL RD |
| City | CANTON |
| State | CT |
| Zip Code | 06019-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in zip 06019 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1467070524 | Tyler Thomas Harvey | Specialist/Technologist | 1221 Valleyview Ave Sw, Canton, OH 44710-1427 | 2020-07-06 |
| 1093353443 | Kelsey Rasky | Specialist/Technologist | 501 Kings Way, Canton, MI 48188-1188 | 2019-12-17 |
| 1811538531 | Amanda Leigh Hambrick | Specialist/Technologist | 551 Winder Trl, Canton, GA 30114-7539 | 2019-10-03 |
| 1710528823 | Gina C Lee | Specialist/Technologist | 332 Jetta Ln, Canton, GA 30115-8614 | 2019-10-01 |
| 1689223521 | Judith Chancey | Specialist/Technologist | 150 Lake Reserve Way, Canton, GA 30115-4784 | 2019-09-04 |
| 1700438363 | Ryan Gernert | Specialist/Technologist | 5323 Gardendale Ave Ne, Canton, OH 44714-1042 | 2019-07-14 |
| 1508345158 | Bridgette Idette Banks | Specialist/Technologist | 111 Hickory Knoll Dr Apt 401, Canton, GA 30114-2444 | 2018-08-13 |
| 1851884001 | Matthew Gee | Specialist/Technologist | 514 Haley Farm Rd, Canton, GA 30115-6176 | 2018-06-12 |
| 1336637214 | Sarah Muccillo | Specialist/Technologist | 30 Laurel Canyon Village Cir Apt 5203, Canton, GA 30114-4606 | 2018-04-26 |
| Find all providers in CANTON | ||||
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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.