DR. JUSTIN MARION MARTIN (NPI# 1972951408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972951408 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MARION MARTIN |
| Credential | M.D. |
| Practice Address |
2401 S 31st St Ms-11-ag062 Temple TX 76508-0001 |
| Practice Telephone | 2149308167 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | BP10057638 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992109516 | Justin Martin | Pharmacist | 5601 Richmond Rd, Williamsburg, VA 23188-1985 | 2014-10-09 |
| 1619177235 | Justin J Martin Jr. | Dentist | 4117 E Lake Rd, Canandaigua, NY 14424-9784 | 2007-07-22 |
| 1639372725 | Justin Parish Martin | Surgery | 2431 W Main St Ste 302, Dothan, AL 36301-1251 | 2007-06-07 |
| 1184624306 | Justin L Martin | Internal Medicine | 1300 W Terrell Ave Ste 500, Ft Worth, TX 76104-2810 | 2005-07-29 |
| 1093283798 | Justin K Martin | Occupational Therapist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2018-11-12 |
| 1265930655 | Justin Martin | Social Worker | 1301 N High St, Columbus, OH 43201-2460 | 2018-01-31 |
| 1285155192 | Justin Troy Martin | Family Medicine | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2017-06-30 |
| 1902250301 | Justin Martin | Pharmacist | 1450 Summit Ave, Oconomowoc, WI 53066-4618 | 2016-04-21 |
| 1124450812 | Justin C Martin | Occupational Therapist | 4206 Stammer Pl, Nashville, TN 37215-3302 | 2013-08-05 |
| 1972799567 | Justin D Martin | Dentist | 1200 First Colonial Rd, Suite #201, Virginia Beach, VA 23454-2207 | 2007-09-18 |
| Street Address |
2401 S 31ST ST MS-11-AG062 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619709 | Elizabeth Katherine Lackey | Emergency Medicine | 2401 S 31st St # 11ag062, Temple, TX 76508-0001 | 2017-06-22 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1326498320 | Garrett Fitzpatrick Frantz | Emergency Medicine | 2306 Kingsbury Drive, Temple, TX 76502-7303 | 2016-06-21 |
| 1023498318 | Caleb Cadis | Emergency Medicine | Dept of Emergency Medicine 2401 S 31st St, Ms-11-ag062, Temple, TX 76508-0001 | 2015-06-02 |
| 1821333469 | Bryce Gregerson | Emergency Medicine | Ms 11 Ag062 2401 South 31st St, Temple, TX 76508-0001 | 2012-12-08 |
| 1659647832 | Joshua L Houser | Emergency Medicine | Ms 11 Ag062, 2401 South 31st Street, Temple, TX 76508-0001 | 2012-04-01 |
| 1811216542 | Clayton Koontz Massey | Emergency Medicine | Scott & White, 2401 S. 31st St., Temple, TX 76508-0001 | 2010-05-20 |
| 1497913644 | Neeta Soorya Bhakta | Emergency Medicine | 2301 S 31st St, Temple, TX 76508-0001 | 2008-05-23 |
| 1417007758 | Michael M Thomas | Emergency Medicine | 7010 W Adams Ave Ste 200, Temple, TX 76502-5550 | 2007-01-11 |
| 1881781565 | Jerry Ray Baskerville | Emergency Medicine | 2003 W Avenue H, Temple, TX 76504-5256 | 2006-10-06 |
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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.