ANDREW J MARTIN (NPI# 1104883693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104883693 |
| Entity Type | Individual |
| Full Name | ANDREW J MARTIN |
| Credential | M.D. |
| Practice Address |
12610 E Northwest Hwy Dallas TX 75228-8010 |
| Mailing Address |
3730 Kirby Dr Ste 1200 Houston TX 77098-3905 |
| Practice Telephone | 4695185584 |
| Practice Fax Number | 8448468853 |
| Mailing Telephone | 2818888999 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
26866 | SC | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M2393 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
M2393 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7616 Branford Pl, Ste 100, Sugar Land, TX 774793793 | 2818888999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978217 | Andrew Martin | Pharmacist | 800 Washington St # 420, Boston, MA 02111-1552 | 2020-03-23 |
| 1063873149 | Andrew Martin | Health Educator | 1915 S 25th Ave, Maywood, IL 60153-2825 | 2016-03-16 |
| 1275955510 | Andrew Martin | Counselor | 3701 Riverside Dr Apt 5, Tulsa, OK 74105-3059 | 2014-01-06 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1912274317 | Andrew Charles Martin | Physical Therapist | 1608 S 24th Ave, Suite 102, Yakima, WA 98902-5719 | 2011-11-30 |
| 1780813568 | Andrew P Martin | Dentist | 844 South Marion Avenue, Lake City, FL 32025 | 2009-07-14 |
| 1417007345 | Andrew S Martin | Specialist | 5546 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-7692 | 2007-01-11 |
| 1164590923 | Andrew Lee Martin | Psychologist | 9 Charlton St, Princeton, NJ 08540 | 2006-12-01 |
| 1740354950 | Andrew Ryan Martin | Internal Medicine | 8164 Nw 122nd Ln, Parkland, FL 33076-4938 | 2006-11-20 |
| 1629686340 | Andrew Reed Martin | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-20 |
| Street Address |
12610 E NORTHWEST HWY |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-8010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699311399 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-11-18 |
| 1700435153 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2019-09-09 |
| 1316436215 | Kairos Multispecialty Clinics | Clinic/Center | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2018-05-07 |
| 1033608930 | Kairos Multispecialty Clinics | Radiologic Technologist | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2018-05-07 |
| 1053584979 | Uma Chetana Mukkamalla Reddy | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2008-04-11 |
| 1750588661 | Mark Albert Thompson | Internal Medicine | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2007-07-03 |
| 1659436632 | Matthew Babich | Podiatrist | 12610 E Northwest Hwy, Dallas, TX 75228 | 2006-12-27 |
| 1427065176 | Matthew Eric Anderson | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427009182 | Danny Yuen Chan | Radiology | 12400 Coit Rd Ste 505, Dallas, TX 75251 | 2006-05-15 |
| 1932732815 | Interventional Partners LLC | Radiology | 12400 Coit Rd Ste 505, Dallas, TX 75251-2038 | 2020-02-19 |
| 1093345209 | Dr Murthy Chamarthy Md Pllc | Radiology | 17950 Preston Rd Ste 120, Dallas, TX 75252-5793 | 2020-01-16 |
| 1275022584 | Dfw Radiology Associates Pllc | Radiology | 12400 Coit Rd Ste 505, Dallas, TX 75251-2038 | 2018-05-02 |
| 1285122341 | Shaun Michael Nordeck | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-1201 | 2018-04-24 |
| 1659875573 | Jacob Wesley Fleming | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-1201 | 2018-03-23 |
| 1467988311 | Premier Endovascular, Pllc | Radiology | 4848 Lemmon Ave, Ste 100, Dallas, TX 75219-1400 | 2017-05-11 |
| 1447785480 | Satyam Veean | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2017-04-27 |
| 1750814737 | Interventional Partners, LLC | Radiology | 12400 Coit Rd, Suite 505, Dallas, TX 75251-2069 | 2017-04-06 |
| 1255750451 | Anish Ashvin Patel | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-9178 | 2014-04-15 |
| Find all providers in DALLAS | ||||
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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.