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).
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 |
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 |
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 |
Street Address |
4925 ROCKWELL RD |
City | WINCHESTER |
State | KY |
Zip Code | 40391-8509 |
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 |
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 Code | 207QB0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Obesity Medicine |
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. |
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 |
City | WINCHESTER |
Zip Code | 40391 |
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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.