DR. M NICHOLAS MARTIN


Address: 4925 Rockwell Rd, Winchester, KY 40391-8509
Phone: 8597441061

DR. M NICHOLAS MARTIN (NPI# 1114076593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114076593
Entity Type Individual
Full Name DR. M NICHOLAS MARTIN
Other Name DR. MARVIN N MARTIN
Credential MD
Practice Address 4925 Rockwell Rd
Winchester
KY 40391-8509
Practice Telephone 8597441061
Practice Fax Number 8597441062
Mailing Telephone 8597441061
Mailing Fax Number 8597441062
Enumeration Date 2007-01-09
Last Update Date 2014-05-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 24668 IN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 17782 KY Allopathic & Osteopathic Physicians
Y 207QB0002X Family Medicine
Specialization: Obesity Medicine
17782 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 065909137 05
MEDICAARE PALMETTO GBA 80031821 01
ANTHEM 000000045743 01
AETNA 5910070 01
VARIABLE TAX ID 610882170 01
KY UNISYS 64177827 01

Office Location

Street Address 4925 ROCKWELL RD
City WINCHESTER
State KY
Zip Code 40391-8509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174565147 Eric Gregory Fox Family Medicine 4925 Rockwell Rd, Winchester, KY 40391-8509 2006-06-12
1831614734 Kathryn Blair Frias Nurse Practitioner 4925 Rockwell Rd, Winchester, KY 40391-8509 2017-08-11
1912386418 Ashleigh Michelle Gasparac Nurse Practitioner 4925 Rockwell Rd, Winchester, KY 40391-8509 2015-05-29
1699110916 James Harris Joyner IIi Family Medicine 4925 Rockwell Rd, Winchester, KY 40391-8509 2013-04-30
1861522393 Charles Stanley Finch Anesthesiology 4925 Rockwell Rd, Winchester, KY 40391-8509 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255838710 Sharrock Strength and Rehab LLC Clinic/Center 1932 Bypass Road, Winchester, KY 40391 2018-04-11
1316264385 Yvonne Marie Pendleton Massage Therapist 126 Professional Ave., Winchester, KY 40391 2010-04-29
1346478310 Mack Anderson Kidd IIi Registered Nurse 105 Lindberg Rd., Winchester, KY 40391 2009-06-29
1043487572 Rankin Douglas Skinner Dentist 726 Boonesboro Plaza, Winchester, KY 40391 2008-05-14
1427233592 Clark County Health Department Public Health or Welfare 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 2008-01-08
1437334505 Clark County Health Department Public Health or Welfare 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 2008-01-08
1598886251 Winchester Open Mri Radiology 475 Shoppers Village Drive, Winchester, KY 40391 2007-04-02
1265509285 James Warren Rice Orthopaedic Surgery 400 Shoppers Dr, Winchester, KY 40391 2006-11-29
1932279262 J Todd Scobee Dmd Psc Clinic/Center 1216 West Lexington Ave, Winchester, KY 40391 2006-11-08
1396823936 Commonwealth Urology, Psc Urology 68 East Elkin Street, Stanton, KY 40391 2006-11-01
Find all providers in zip 40391

Taxonomy Information

Taxonomy Code 207QB0002X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Obesity Medicine

Taxonomy Definition

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952639189 Jerry C Sutkamp Family Medicine 2000 Memorial Pkwy, Fort Thomas, KY 41075-1368 2009-11-30
1982099438 Ashland Integrative Medicine LLC Family Medicine 10730 Midland Trail Rd, Ashland, KY 41102 2015-04-01
1023426632 Med-life-fit Medical and Lifestyle Management Family Medical Center L Family Medicine 10512 Meeting St Ste 101, Prospect, KY 40059-7590 2014-07-27
1710205273 Daniel A Martelino Family Medicine 1621 Ashland Rd, Suite 4, Greenup, KY 41144-1207 2010-05-08
1588617781 Julie Elizabeth Higgins Family Medicine 2716 Old Rosebud Rd, Suite 160, Lexington, KY 40509-8008 2006-05-18

Competitor

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City WINCHESTER
Zip Code 40391

Improve Information

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Dataset Information

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.

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