Brent D Martin (NPI# 1538336615, PAC ID# 3971844846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DENTIST.
| Nation Provider ID (NPI) | 1538336615 |
| PAC ID by PECOS | 3971844846 |
| Professional Enrollment ID | I20190403001677 |
| Full Name | Brent D Martin |
| Organization Legal Name | NORTHWEST PATHOLOGY CONSULTANTS PC |
| Address |
44405 Woodward Ave St Joseph Mercy Hosp Pontiac MI 48341-5023 |
| Phone Number | 2488583190 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DENTIST |
| Group Practice PAC ID | 3678502671 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230029 | ST JOSEPH MERCY OAKLAND |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 44405 Woodward Ave, St Joseph Mercy Hosp, Pontiac, MI 48341-5023 | 2488583190 | NORTHWEST PATHOLOGY CONSULTANTS PC |
| Organization Legal Name | NORTHWEST PATHOLOGY CONSULTANTS PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent T Accurso | Oral Surgery | Northwest Pathology Consultants PC | 44405 Woodward Ave, St Joseph Mercy Hosp, Pontiac, MI 48341-5023 |
| Cameron R Dowlatshahi | Pathology | Northwest Pathology Consultants PC | 44405 Woodward Ave, St Joseph Mercy Hosp, Pontiac, MI 48341-5023 |
| Donald R Peven | Pathology | Northwest Pathology Consultants PC | 44405 Woodward Ave, St Joseph Mercy Hosp, Pontiac, MI 48341-5023 |
| Sherwin P Imlay | Pathology | Northwest Pathology Consultants PC | 44405 Woodward Ave, St Joseph Mercy Hosp, Pontiac, MI 48341-5023 |
| Brian L Edelman | Pathology | Northwest Pathology Consultants PC | 44405 Woodward Ave, St Joseph Mercy Hosp, Pontiac, MI 48341-5023 |
| John R Fischer | Pathology | Northwest Pathology Consultants PC | 44405 Woodward Ave, St Joseph Mercy Hosp, Pontiac, MI 48341-5023 |
| Street Address |
44405 WOODWARD AVE ST JOSEPH MERCY HOSP |
| City | PONTIAC |
| State | MI |
| Zip | 48341-5023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krassimir L Denchev | Critical Care (intensivists) | Anesthesia Associates of Ann Arbor Pllc | 44405 Woodward Ave, St Joseph Mercy Oakland, Pontiac, MI 48341-5023 |
| Fabian L Fregoli | Family Medicine | Sjmh Medical Practice-smhc | 44405 Woodward Ave, Pontiac, MI 48341-5023 |
| Dipti Ghatol | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 44405 Woodward Ave, St Joseph Mercy Oakland, Pontiac, MI 48341-5023 |
| Shamla Kalyan | Infectious Disease | 44405 Woodward Ave, Pontiac, MI 48341-5023 | |
| Mona Sater | Physician Assistant | 44405 Woodward Ave, St Joseph Mercy Oakland, Pontiac, MI 48341-5023 | |
| David A Minter | Emergency Medicine | Fadi Salloum Md PC | 44405 Woodward Ave, Pontiac, MI 48341-5023 |
| Qingyun Ruan | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Ann Arbor Pllc | 44405 Woodward Ave, St Joseph Mercy Oakland, Pontiac, MI 48341-5023 |
| Zulfiqar Ahmed | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 44405 Woodward Ave, St Joseph Mercy Oakland, Pontiac, MI 48341-5023 |
| Jason P Zatkoff | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 44405 Woodward Ave, St Joseph Mercy Oakland, Pontiac, MI 48341-5023 |
| Colleen M Ferrara | Nurse Practitioner | Sjmh Medical Practice-smhc | 44405 Woodward Ave, Pontiac, MI 48341-5023 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel M Wapner | Optometry | 22 N Telegraph Rd, Pontiac, MI 48341-1166 | |
| John C Abbott | Certified Registered Nurse Anesthetist (crna) | Pgh Medical Group PC | 461 W Huron St, Pontiac General Hospital, Pontiac, MI 48341-1601 |
| Nikhil K Hemady | Family Medicine | Pgh Medical Group PC | 461 W Huron St, Pontiac General Hospital, Pontiac, MI 48341-1601 |
| Julia M Aharonov | Anesthesiology | Pgh Medical Group PC | 461 W Huron St, Pontiac General Hospital, Pontiac, MI 48341-1601 |
| Faisal M Shareefuddin | Family Practice | Oakland Integrated Healthcare Network | 461 W Huron St, Suite 107, Pontiac, MI 48341-1601 |
| Cibu Panicker | Family Practice | Oakland Integrated Healthcare Network | 461 W Huron St, Pontiac, MI 48341-1601 |
| Kurmanath Manyam | Anesthesiology | 461 W Huron St, Pontiac, MI 48341-1601 | |
| Maggie M Simowski | Clinical Social Worker | Oakland Integrated Healthcare Network | 461 W Huron St, Pontiac, MI 48341-1601 |
| Mahavir Oza | Chiropractic | 530 W Huron St, Pontiac, MI 48341-1607 | |
| Thomas Mathew | Cardiovascular Disease (cardiology) | 35 S Johnson St, 1a, Pontiac, MI 48341-1660 | |
| Find all physicians in zip 48341 | |||
| City | PONTIAC |
| Zip Code | 48341 |
| Specialty | DENTIST |
| City + Specialty | PONTIAC + DENTIST |
Please comment or provide details below to improve the information on Brent D Martin.
| 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.