Laura Martin (NPI# 1558344135, PAC ID# 8123071313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1558344135 |
PAC ID by PECOS | 8123071313 |
Professional Enrollment ID | I20061121000272 |
Full Name | Laura Martin |
Organization Legal Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
Address |
1700 N Broad St Temple Family and Community Medicine Philadelphia PA 19121-3429 |
Phone Number | 2152042679 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 2961314299 |
Number of Group Practice Members | 717 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
390027 | TEMPLE UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1700 N Broad St, Temple Family and Community Medicine, Philadelphia, PA 19121-3429 | 2152042679 | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
1700 N Broad St, Philadelphia, PA 19121-3429 | 2152042679 | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
3322 N Broad St, Philadelphia, PA 19140-5185 | 2157073933 | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
Organization Legal Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
Physicians | 109 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexander Deak | Internal Medicine | Temple University of The Commonwealth System of Higher Education | 1316 W Ontario St 1st Fl Jones Hall, Temple General Internal Medicine, Philadelphia, PA 19140-5220 |
Lauren M O'neill | Speech Language Pathologist | Temple University of The Commonwealth System of Higher Education | 3409 N Broad St, Philadelphia, PA 19140-5103 |
Daria I Farma | Physician Assistant | Temple University of The Commonwealth System of Higher Education | 3222 N Broad St 1st Fl Mob, Temple Nephrology Associates, Philadelphia, PA 19140-5103 |
Jennifer C Van | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
Sheetal Koul | Internal Medicine | Temple University of The Commonwealth System of Higher Education | 100 E Lehigh Ave St, Temple General Internal Medicine Assoc, Philadelphia, PA 19125-1012 |
Camille I Paglia | Psychiatry | Temple University of The Commonwealth System of Higher Education | 100 E Lehigh Ave Mab Bldg, 105 Temple Psychology Associates, Phila, PA 19125-1012 |
Deborah Gleeson | Nurse Practitioner | Temple University of The Commonwealth System of Higher Education | 3322 N Broad St 1st Fl Mob, Philadelphia, PA 19140-5103 |
Larry M Newman | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
Ebony Lashay Love | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
Joshua L Moore | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
Street Address |
1700 N BROAD ST TEMPLE FAMILY AND COMMUNITY MEDICINE |
City | PHILADELPHIA |
State | PA |
Zip | 19121-3429 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ben Hur Mobo | Family Medicine | Temple Faculty Practice Plan Inc | 1700 N Broad St, Philadelphia, PA 19121-3429 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Q Manalo | Family Medicine | 2124 W Diamond St, George Q Manalo Md, Philadelphia, PA 19121-1431 | |
Bruce Williams | Family Practice | In Touch Medical Associates Inc | 2109 W Diamond St, Philadelphia, PA 19121-1434 |
Walter Wrenn Iii | Internal Medicine | 2603 Cecil B Moore Ave, Philadelphia, PA 19121-2826 | |
Nayeli Arguelles Spahr | Family Medicine | Project Home | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 |
Christine Marie Castellan | Family Medicine | Project Home | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 |
Ivel Cheleili Morales | Family Medicine | Project Home | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 |
Patrick Martin Doggett | Family Practice | Project H.o.m.e. | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 |
Lara Carson Weinstein | Family Practice | Project H.o.m.e. | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 |
Jeffrey D Sandler | Podiatry | 2233 W Cecil B Moore Ave, Philadelphia, PA 19121-4025 |
City | PHILADELPHIA |
Zip Code | 19121 |
Specialty | FAMILY PRACTICE |
City + Specialty | PHILADELPHIA + 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.