Justin Lilbourn Martin (NPI# 1184624306, PAC ID# 1254385131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
Nation Provider ID (NPI) | 1184624306 |
PAC ID by PECOS | 1254385131 |
Professional Enrollment ID | I20050701000308 |
Full Name | Justin Lilbourn Martin |
Organization Legal Name | TEXAS HEALTH PHYSICIANS GROUP |
Address |
1300 W Terrell Ave Suite 300 Fort Worth TX 76104-2822 |
Phone Number | 8178204280 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
Graduation Year | 1998 |
Primary Specialty | INTERVENTIONAL CARDIOLOGY |
Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 4385535954 |
Number of Group Practice Members | 933 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
450779 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F |
450148 | TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE |
Address | Phone | Organization |
---|---|---|
1300 W Terrell Ave, Suite 300, Fort Worth, TX 76104-2822 | 8178204280 | TEXAS HEALTH PHYSICIANS GROUP |
Organization Legal Name | TEXAS HEALTH PHYSICIANS GROUP |
Physicians | 1023 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stuart Michnick | Orthopedic Surgery | Texas Health Physicians Group | 2900 N Interstate 35, Suite 200, Denton, TX 76201-5144 |
Dorian P Cerrato | Nurse Practitioner | Texas Health Physicians Group | 1614 Scripture St, Suite 9, Denton, TX 76201-3838 |
Kathryn Michelle Heine | Nurse Practitioner | Texas Health Physicians Group | 12465 Timberland Blvd, Suite 401, Fort Worth, TX 76244-5215 |
Melissa Michelle Andersen | Nurse Practitioner | Texas Health Physicians Group | 3000 N Interstate 35, Denton, TX 76201-5119 |
Khurram Ahmad | Interventional Cardiology | Texas Health Physicians Group | 3315 Unicorn Lake Blvd, Suite 171, Denton, TX 76210-0127 |
Michael S. Rogers | Family Medicine | Texas Health Physicians Group | 970 N Coit Rd, Suite 3040, Richardson, TX 75080-5418 |
John J. Christoforetti Ii | Sports Medicine | Texas Health Physicians Group | 1120 Raintree Circle, Suite 280, Allen, TX 75013-5258 |
Kathryn Anne Guardado | Nurse Practitioner | Texas Health Physicians Group | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7002 |
Stephanie Spaight | Nurse Practitioner | Texas Health Physicians Group | 2730 Sw Wilshire Blvd, Burleson, TX 76028-8338 |
Carrie Pedersen | Nurse Practitioner | Texas Health Physicians Group | 874 Ed Hall Dr, Suite B108, Kaufman, TX 75142-1861 |
Street Address |
1300 W TERRELL AVE SUITE 300 |
City | FORT WORTH |
State | TX |
Zip | 76104-2822 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael C Walter | Urology | Medical Clinic of North Texas, Pllc | 1300 W Terrell Ave, Suite 400, Fort Worth, TX 76104-2820 |
Brandie Deann Williams | Cardiovascular Disease (cardiology) | Texas Health Physicians Group | 1300 W Terrell Ave, Suite 500, Fort Worth, TX 76104-2821 |
Sreenivas Gudimetla | Cardiovascular Disease (cardiology) | Texas Health Physicians Group | 1300 W Terrell Ave, Suite 300, Fort Worth, TX 76104-2822 |
John E Willard | Cardiovascular Disease (cardiology) | Texas Health Physicians Group | 1300 W Terrell Ave, Suite 500, Fort Worth, TX 76104-2821 |
Robbin Leigh Quillin | Nurse Practitioner | Texas Health Physicians Group | 1300 W Terrell Ave, Suite 500, Fort Worth, TX 76104-2821 |
Johnna K Jones | Vascular Surgery | Texas Health Physicians Group | 1300 W Terrell Ave, Suite 300, Fort Worth, TX 76104-2822 |
David D Corley Jr. | Interventional Cardiology | Texas Health Physicians Group | 1300 W Terrell Ave, Suite 300, Fort Worth, TX 76104-2822 |
Julia M Willingham | Urology | Medical Clinic of North Texas, Pllc | 1300 W Terrell Ave, Suite 400, Fort Worth, TX 76104-2820 |
Stephen D Sorgen | Radiation Oncology | Texas Oncology Pa | 1300 W Terrell Ave, Suite 200, Ft Worth, TX 76104-2821 |
Parin Parikh | Cardiovascular Disease (cardiology) | Texas Health Physicians Group | 1300 W Terrell Ave, Suite 300, Fort Worth, TX 76104-2822 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
Find all physicians in zip 76104 |
City | FORT WORTH |
Zip Code | 76104 |
Specialty | INTERVENTIONAL CARDIOLOGY |
City + Specialty | FORT WORTH + INTERVENTIONAL CARDIOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.