Daniel C Martin (NPI# 1366546673, PAC ID# 6507919982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1366546673 |
PAC ID by PECOS | 6507919982 |
Professional Enrollment ID | I20090803000266 |
Full Name | Daniel C Martin |
Organization Legal Name | GLENPOOL FAMILY CLINIC A PROF CORP |
Address |
14226 S Elm St Glenpool OK 74033-3525 |
Phone Number | 9183229510 |
Gender | M |
Graduation Year | 1981 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 7618020025 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370091 | SAINT FRANCIS HOSPITAL, INC |
370202 | HILLCREST HOSPITAL SOUTH |
370001 | HILLCREST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
14226 S Elm St, Glenpool, OK 74033-3525 | 9183229510 | GLENPOOL FAMILY CLINIC A PROF CORP |
Organization Legal Name | GLENPOOL FAMILY CLINIC A PROF CORP |
Physicians | 1 |
Street Address |
14226 S ELM ST |
City | GLENPOOL |
State | OK |
Zip | 74033-3525 |
Name | Specialty | Organization | Address |
---|---|---|---|
Monty L Ward | Physical Therapy | Redbud Physical Therapy LLC | 500 E 141st St, Glenpool, OK 74033-3524 |
Brittany Wolthuizen | Optometry | Glenpool Eye Care, Pllc | 247 E 141st St, Glenpool, OK 74033-3583 |
John L Gosnell | Optometry | Glenpool Eye Care, Pllc | 247 E 141st St, Glenpool, OK 74033-3583 |
Arrick D Klugh | Chiropractic | 148 W Main St, Suite A, Glenpool, OK 74033-3962 | |
Kyle N. Tate | Optometry | 12140 S Waco Ave, Glenpool, OK 74033-5660 |
City | GLENPOOL |
Zip Code | 74033 |
Specialty | FAMILY PRACTICE |
City + Specialty | GLENPOOL + FAMILY PRACTICE |
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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.