PETER MARTIN (NPI# 1104357490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104357490 |
| Entity Type | Individual |
| Full Name | PETER MARTIN |
| Practice Address |
715 Park Ave South Bend IN 46616-1337 |
| Practice Telephone | 5745364151 |
| Mailing Telephone | 5745364151 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516489 | Peter Martin | Counselor | 8675 Midland Pkwy Ste 1, Jamaica, NY 11432-3049 | 2020-04-05 |
| 1386133668 | Peter Mitchell Martin | Family Medicine | Offutt Afb Family Medicine Residency, 2501 Capehart Rd., Offutt Afb, NE 68113 | 2018-05-02 |
| 1851743330 | Peter Martin | Marriage & Family Therapist | 2170 S El Camino Real # 217, Oceanside, CA 92054-6203 | 2016-07-07 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1194857532 | Peter J Martin | Physician Assistant | N. 115 Crosby, Tekoa, WA 99033-0629 | 2007-03-12 |
| 1235298175 | Peter Reed Martin | Acupuncturist | 1130 Sw Morrison St Ste 430, Portland, OR 97205-2215 | 2006-12-06 |
| 1073171716 | Peter Martin | Physical Therapist | 3270 Liberty Rd. S., Salem, OR 97302 | 2019-05-29 |
| 1215409289 | Peter J.d. Martin | Case Manager/Care Coordinator | 805 E Robinson St, Norman, OK 73071-6610 | 2019-01-01 |
| 1730444282 | Peter Andrew Martin | Internal Medicine | 19333 W North Ave, Brookfield, WI 53045-4132 | 2012-07-11 |
| 1861635120 | Peter Scott Martin | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2009-04-15 |
| Street Address |
715 PARK AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46616-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497965222 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 119 Spruce St, South Bend, IN 46616-1129 | 2007-05-23 |
| 1184861858 | Neil Gilbert Counseling & Healing LLC | Community/Behavioral Health | 914 Lincolnway W, South Bend, IN 46616-1152 | 2009-01-16 |
| 1417052796 | Neil Lee Gilbert | Social Worker | 914 Lincoln Way W, South Bend, IN 46616-1152 | 2006-09-13 |
| 1144831009 | Jessica Brickman | Speech-Language Pathologist | 736 Portage Ave Apt 4, South Bend, IN 46616-1371 | 2020-08-13 |
| 1669416020 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1333 Portage Ave, South Bend, IN 46616-1509 | 2006-06-16 |
| 1255967352 | John R Majewski | Student in an Organized Health Care Education/Training Program | 1402 Portage Ave, South Bend, IN 46616-1733 | 2020-03-20 |
| 1467494393 | Damian D. Dieter | Podiatrist | 1608 Portage Ave, South Bend, IN 46616-1740 | 2006-06-12 |
| 1104995885 | Trang Khanh Mai | Dentist | 1637 Portage Ave, South Bend, IN 46616-1743 | 2006-11-07 |
| 1841369535 | South Bend Family Dentistry, P.C. | Dentist | 1637 Portage Ave, South Bend, IN 46616-1743 | 2006-11-07 |
| 1437557683 | Danielle Loupee | Community Health Worker | 1529 Lagoon Ct, South Bend, IN 46616-2135 | 2014-12-19 |
| Find all providers in zip 46616 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967352 | John R Majewski | Student in an Organized Health Care Education/Training Program | 1402 Portage Ave, South Bend, IN 46616-1733 | 2020-03-20 |
| 1023632114 | Dayna Gumm | Student in an Organized Health Care Education/Training Program | 4526 W Western Ave, South Bend, IN 46619-2302 | 2020-06-03 |
| 1457972499 | Megan Susanne Spencer | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-30 |
| 1588284079 | Madeline Grace Chandler | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-24 |
| 1255951968 | Kallie Kram | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-22 |
| 1235759069 | Audrieanna Marie Kramer | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-22 |
| 1417577271 | Deborah Michelle Pavey | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-22 |
| 1841810702 | Kaitlin Vanderkolk | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-21 |
| 1982224879 | Allyson Nicole Dimagno | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-21 |
| 1609496686 | Garrett Muhlstadt | Student in an Organized Health Care Education/Training Program | 714 N Michigan St, South Bend, IN 46601-1035 | 2020-04-20 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46616 |
Please comment or provide details below to improve the information on PETER MARTIN.
| 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.