EDWARD T MARTIN (NPI# 1982674719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982674719 |
| Entity Type | Individual |
| Full Name | EDWARD T MARTIN |
| Credential | M.D. |
| Practice Address |
9228 S Mingo Rd Suite 200 Tulsa OK 74133-5718 |
| Practice Telephone | 9185920999 |
| Practice Fax Number | 9188782499 |
| Mailing Telephone | 9185920999 |
| Mailing Fax Number | 9188782499 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2016-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 20675 | OK | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20675 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100028120A | 05 | |
| OK | MEDICARE RAILROAD | 060049596 | 01 |
| OK | MEDICARE RAILROAD | P00613404 | 01 |
| OK | MEDICARE PTAN | OK700124 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659518751 | Edward D Martin | Pediatrics | 5309 1st Pl N, Arlington, VA 22203-1246 | 2009-01-11 |
| 1700821758 | Edward L Martin | Chiropractor | 5905 W Rolling Hills Dr, Bridgeport, MI 48722-9656 | 2006-06-16 |
| 1932152162 | Edward Martin Jr. | Surgery | 300 W. 10th Avenue, Columbus, OH 43210 | 2006-05-18 |
| 1316995269 | Edward Joseph Martin | Ophthalmology | 246 New Scotland Ave, Albany, NY 12208-3101 | 2006-05-04 |
| 1578526208 | Edward James Martin | Dentist | 1302 Pearl St, Covington, IN 47932 | 2006-04-12 |
| 1194715060 | Edward W Martin | Internal Medicine | 169 George St, Pawtucket, RI 02860-3853 | 2005-10-24 |
| 1639737109 | Edward John Martin | Behavior Technician | 800 Howe Ave Ste 140, Sacramento, CA 95825-3965 | 2019-05-30 |
| 1093014292 | Edward T Martin | Counselor | 563 N Main St, Waynesville, NC 28786-3817 | 2011-03-28 |
| 1518276864 | Edward J Martin Jr. | Counselor | 1508 Main St, Great Bend, KS 67530-4007 | 2010-10-05 |
| 1194992255 | Edward H Martin | Counselor | 1111 N Eastman Rd, Kingsport, TN 37664-3156 | 2008-05-08 |
| Street Address |
9228 S MINGO RD SUITE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855737 | Jana Richards Loveless | Internal Medicine | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2005-07-19 |
| 1255870465 | Valerie Rachelle Estes | Family Medicine | 9228 S Mingo Rd, Tulsa, OK 74133-5718 | 2017-02-21 |
| 1164881199 | Adrian C Donnelly | Physician Assistant | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2016-02-18 |
| 1689031890 | Joshua Edward Lee | Physician Assistant | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2016-01-19 |
| 1659765493 | Gini A Renfrow | Nurse Practitioner | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2015-03-18 |
| 1700154176 | Osu Center for Health Sciences | Clinic/Center | 9228 S Mingo Rd, Suite 101, Tulsa, OK 74133-5718 | 2011-12-13 |
| 1871813006 | Lauren Labryer | Internal Medicine | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2010-06-10 |
| 1629229307 | Deborah Janell Crawford | Clinical Nurse Specialist | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2008-10-01 |
| 1780857540 | Ahs Oklahoma Heart LLC | Specialist | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2008-04-11 |
| 1326256942 | Arash Karnama | Internal Medicine | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355813 | Tulsa Cardiovascular Center of Excellence, L.l.c | Internal Medicine | 11912 S Norwood Ave Ste 105, Tulsa, OK 74137-5509 | 2019-03-19 |
| 1356621353 | Taraka Vijaya Rama Raju Gadiraju | Internal Medicine | 6151 S Yale Ave Ste 1-304, Tulsa, OK 74136-1907 | 2011-08-22 |
| 1174750749 | Matthew Joseph Comstock | Internal Medicine | 11912 S Norwood Ave Ste 110, Tulsa, OK 74137-5509 | 2009-06-22 |
| 1497965818 | Heart Care of Tulsa, Inc. | Internal Medicine | 802 South Jackson, Suite 225, Tulsa, OK 74127 | 2007-05-23 |
| 1528152899 | Cardiovascular Consultants Inc | Internal Medicine | 5555 E 71 Street, Suite 7200, Tulsa, OK 74136-6544 | 2006-10-03 |
| 1790717270 | St John Cardiovascular Medicine Inc | Internal Medicine | 1923 E 21st St, Suite 200, Tulsa, OK 74114-1419 | 2006-07-07 |
| 1598719775 | Richard Lynn Irvin | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2006-05-20 |
| 1578524013 | Gregory Mcwilliams | Internal Medicine | 5555 E 71st St, Ste 7200, Tulsa, OK 74136 | 2006-03-31 |
| 1922080860 | David Matthew Wilkett | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2005-11-16 |
| 1194727164 | James Ray Higgins | Internal Medicine | 7912 E 31st Ct, Suite 320, Tulsa, OK 74145-1305 | 2005-08-10 |
| Find all providers in TULSA | ||||
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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.