Anthony W Martin Jr. (NPI# 1700046547, PAC ID# 7911176706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1700046547 |
| PAC ID by PECOS | 7911176706 |
| Professional Enrollment ID | I20110811000898 |
| Full Name | Anthony W Martin Jr. |
| Organization Legal Name | CAROLINAS PHYSICIANS NETWORK INC |
| Address |
5727 Prosperity Church Rd Suite 1100a Charlotte NC 28269-1127 |
| Phone Number | 7048634878 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 3375449655 |
| Number of Group Practice Members | 1149 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 7043552000 | CAROLINAS MEDICAL CENTER |
| 14214 Ballantyne Lake Rd, Suite 150a Sports Med and Injury Care, Charlotte, NC 28277-3372 | 7048634678 | CAROLINAS PHYSICIANS NETWORK INC |
| 2001 Vail Ave, Charlotte, NC 28207-1248 | 7043045000 | CAROLINAS MEDICAL CENTER |
| 5727 Prosperity Church Rd, Suite 1100a, Charlotte, NC 28269-1127 | 7048634878 | CAROLINAS PHYSICIANS NETWORK INC |
| Organization Legal Name | CAROLINAS PHYSICIANS NETWORK INC |
| Physicians | 1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Young Jin Kim | Nurse Practitioner | Carolinas Physicians Network Inc | 101 E Wt Harris Blvd, Bld 1000 Suite 1110, Charlotte, NC 28262-3485 |
| Punam Rajput | Endocrinology | Carolinas Physicians Network Inc | 2202 Carolina Pl, Suite 100, Kings Mountain, NC 28086-8807 |
| Lauren S Feldman | Psychiatry | Carolinas Physicians Network Inc | 202 E Grover St, Shelby, NC 28150-3977 |
| Jeffrey Ham | Family Medicine | Carolinas Physicians Network Inc | 5651 Poplar Tent Rd, Suite 102, Concord, NC 28027-7530 |
| Steven A Paterno | Obstetrics/gynecology | Carolinas Physicians Network Inc | 349 Penny Lane Ne, Concord, NC 28025-1221 |
| Kathryn R Martin | Nurse Practitioner | Carolinas Physicians Network Inc | 10650 Park Rd, Suite 300, Charlotte, NC 28210-8543 |
| Nestor M Quezada | Infectious Disease | Carolinas Physicians Network Inc | 4539 Hedgemore Dr, Suite 100, Charlotte, NC 28209-3237 |
| Rebekah L Aurie | Family Medicine | Carolinas Physicians Network Inc | 4315 Physicians Blvd, Suite 101, Harrisburg, NC 28075-7431 |
| Anna Beth Sparks Deaton | Physician Assistant | Carolinas Physicians Network Inc | 1090 Vinehaven Dr Ne, Concord, NC 28025-2438 |
| Holly Melton | Nurse Practitioner | Carolinas Physicians Network Inc | 835 Albemarle Rd, Troy, NC 27371-8682 |
| Street Address |
5727 PROSPERITY CHURCH RD SUITE 1100A |
| City | CHARLOTTE |
| State | NC |
| Zip | 28269-1127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda H Sie | Optometry | 3230 Prosperity Church Rd, Suite 103, Charlotte, NC 28269-0033 | |
| Julia Whitt | Nurse Practitioner | Carolinas Physicians Network Inc | 5727 Prosperity Crossing Dr, Charlotte, NC 28269-0034 |
| Suima Aryal | Family Medicine | Carolinas Physicians Network Inc | 5727 Prosperity Crossing Dr, Charlotte, NC 28269-0034 |
| Richard H Harsch | Family Medicine | Carolinas Physicians Network Inc | 5727 Prosperity Crossing Dr, Charlotte, NC 28269-0034 |
| Vincent F Hillman | Family Practice | Huntersville Family Practice PC | 8750 Arbor Creek Dr, Charlotte, NC 28269-0542 |
| Vicki S Shipman | Nurse Practitioner | Carolinas Physicians Network Inc | 5727 Prosperity Crossing Dr, Suite 1100, Charlotte, NC 28269-2342 |
| Erin Elizabeth Straight | Obstetrics/gynecology | Eastover University Obstetrics and Gynecology Associates | 5727 Prosperity Crossing Dr, Charlotte, NC 28269-2342 |
| Catherine Rogers Rainbow | Sports Medicine | Carolinas Physicians Network Inc | 5727 Prosperity Crossing Dr, Suite 1100, Charlotte, NC 28269-2342 |
| Kari Hewat | Obstetrics/gynecology | Eastover University Obstetrics and Gynecology Associates | 5727 Prosperity Crossing Dr, Charlotte, NC 28269-2342 |
| Garath Alan Maenpaa | Sports Medicine | Carolinas Physicians Network Inc | 5727 Prosperity Crossing Dr, Suite 1100, Charlotte, NC 28269-2342 |
| Find all physicians in zip 28269 | |||
| City | CHARLOTTE |
| Zip Code | 28269 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | CHARLOTTE + SPORTS MEDICINE |
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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.