George Martin (NPI# 1841222452, PAC ID# 5092873042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1841222452 |
| PAC ID by PECOS | 5092873042 |
| Professional Enrollment ID | I20120809000200 |
| Full Name | George Martin |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Address |
800 Broadway Suite 315 Fort Wayne IN 46802-2149 |
| Phone Number | 2604896030 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4981751617 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150150 | DUPONT HOSPITAL LLC |
| 151330 | ADAMS MEMORIAL HOSPITAL |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150075 | BLUFFTON REGIONAL MEDICAL CENTER |
| 151315 | CAMERON MEMORIAL COMMUNITY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2604366667 | NORTHEAST INDIANA UROLOGY. P.C. |
| 2622 Lake Ave, Fort Wayne, IN 46805-5410 | 2604253100 | LUTHERAN MEDICAL GROUP LLC |
| 800 Broadway, Suite 315, Fort Wayne, IN 46802-2149 | 2604896030 | LUTHERAN MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Physicians | 216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
| David C. Cronin | General Surgery | Lutheran Medical Group LLC | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 |
| George Steven Kalesperis | Family Medicine | Lutheran Medical Group LLC | 6511 E State Blvd, Fort Wayne, IN 46815-7026 |
| Ann R. Moore | Nurse Practitioner | Lutheran Medical Group LLC | 303 S Main St, Bluffton Regional Hospital, Bluffton, IN 46714-2503 |
| Stephanie A Clouse | Nurse Practitioner | Lutheran Medical Group LLC | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Nicole Sanderson | Nurse Practitioner | Lutheran Medical Group LLC | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 |
| Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
| Ibad Ul-haq Farooqui | Family Medicine | Lutheran Medical Group LLC | 402 E Main St, Fort Wayne, IN 46802-1910 |
| Christine Springer | Nurse Practitioner | Lutheran Medical Group LLC | 10429 Hosler Rd, Leo, IN 46765-9739 |
| Leia A Becktell | Nurse Practitioner | Lutheran Medical Group LLC | 7952 W Jefferson Blvd, The Orthopedic Hospital, Fort Wayne, IN 46804-4140 |
| Street Address |
800 BROADWAY SUITE 315 |
| City | FORT WAYNE |
| State | IN |
| Zip | 46802-2149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doyle E Lorenz | Anesthesiology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Christopher T Collie | Anesthesiology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Hadi Farouk Shaaban | General Surgery | Lutheran Medical Group LLC | 800 Broadway, Suite 115, Fort Wayne, IN 46802-2149 |
| Chik Amechi | Obstetrics/gynecology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Chung-seng Lee | Gastroenterology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Laura C Parker | Clinical Social Worker | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Shashi Kant Ahuja | Cardiovascular Disease (cardiology) | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Diane L Sullivan | Clinical Social Worker | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Brian Allen Youn | Internal Medicine | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Rachael F Rogers | Physician Assistant | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkiya Fraser | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Tara J Little | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Melissa K Gephart | Nurse Practitioner | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| April Renee Morrison | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Dedrick K. Bowe | Pulmonary Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Maryann Meo | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Carrie B Price | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| William A Wood | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Glenn Alan Glogas | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Find all physicians in zip 46802 | |||
| City | FORT WAYNE |
| Zip Code | 46802 |
| Specialty | UROLOGY |
| City + Specialty | FORT WAYNE + UROLOGY |
Please comment or provide details below to improve the information on George 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.