DR. JEFFREY DAVID MARTINDALE (NPI# 1013158906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013158906 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVID MARTINDALE |
| Credential | D.O. |
| Practice Address |
301 W Wackerly St Midland MI 48640-2761 |
| Practice Telephone | 9898320900 |
| Practice Fax Number | 9896330349 |
| Mailing Telephone | 9898320900 |
| Mailing Fax Number | 9896330349 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5101018127 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568589422 | Jeffrey Wayne Martindale | Psychologist | 1011 Honor Heights Dr Bldg 10, Muskogee, OK 74401-1318 | 2007-03-24 |
| 1225393127 | Jeffrey William Martindale | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2012-07-07 |
| Street Address |
301 W WACKERLY ST |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010204 | Waleed H Doghmi | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2005-06-01 |
| 1568012797 | Jennifer Laporte | Nurse Practitioner | 301 W Wackerly St, Midland, MI 48640-2761 | 2019-09-19 |
| 1144778812 | Jacquelyn Nicole Prokop | Physician Assistant | 301 W Wackerly St, Midland, MI 48640-2761 | 2016-09-12 |
| 1801150602 | Oluwafemi Showole | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2012-06-27 |
| 1033415757 | Laura J Brown | Registered Nurse | 301 W Wackerly St, Midland, MI 48640-2761 | 2011-01-27 |
| 1790936128 | Ashley Dailey | Nurse Practitioner | 301 W Wackerly St, Midland, MI 48640-2761 | 2008-10-03 |
| 1063580595 | Andrzej S. Boguszewski | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2006-12-01 |
| 1750399986 | Kenneth Vansumeren | Physician Assistant | 301 W Wackerly St, Midland, MI 48640-2761 | 2006-08-03 |
| 1609891753 | Maged M Rizk | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2006-07-12 |
| 1407890536 | Michael A Lauer | Internal Medicine | 301 W Wackerly St, Suite B, Midland, MI 48640-2761 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821231150 | Anand Cholia Md Pa | Internal Medicine | 400 N Garfield St Ste 140, Midland, TX 79701-5905 | 2009-04-16 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1700929742 | Michael S Miller | Internal Medicine | 400 N Garfield, Suite 240, Midland, TX 79701-5904 | 2007-02-15 |
| 1205849114 | Midland Cardiac Clinic, Pa | Internal Medicine | 4214 Andrews Hwy Ste 100a, Midland, TX 79703-4873 | 2006-08-14 |
| 1245214295 | Adelto Adan | Internal Medicine | 4406 Orchard, Midland, MI 48670-0001 | 2005-12-02 |
| 1023010204 | Waleed H Doghmi | Internal Medicine | 301 W Wackerly St, Midland, MI 48640-2761 | 2005-06-01 |
| 1679123475 | Mark Isaac Davis | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2019-09-13 |
| 1275836736 | Permian Cardiology, Inc. | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Suite 240, Midland, TX 79701-5846 | 2010-12-06 |
| 1972816189 | Evbu Omoyemwen Enakpene | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2010-07-16 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.