MARY BETH MARTIN (NPI# 1114251360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114251360 |
| Entity Type | Individual |
| Full Name | MARY BETH MARTIN |
| Credential | NP |
| Practice Address |
260 Hudson River Rd Waterford NY 12188-1910 |
| Practice Telephone | 5182373330 |
| Mailing Telephone | 5182373330 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
330422 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
260 HUDSON RIVER RD |
| City | WATERFORD |
| State | NY |
| Zip Code | 12188-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851700322 | Kelly Bly | Student in an Organized Health Care Education/Training Program | 41 Lower Newtown Rd, Waterford, NY 12188 | 2014-08-08 |
| 1841363009 | Amita N Nair | Internal Medicine | 158 Saratoga Ave., Waterford Health Center, Waterford, NY 12188 | 2006-11-16 |
| 1588738330 | Daniel Cheng | Pediatrics | 110 3rd St, Waterford, NY 12188 | 2006-11-20 |
| 1306935895 | Mohammed Ismail Md PC | Internal Medicine | 46 3rd St, Waterford, NY 12188 | 2006-10-12 |
| 1740260298 | Elise C. Richtol | Podiatrist | 3 Partridge Ln, Waterford, NY 12188-1091 | 2006-01-20 |
| 1033362579 | Rebecca Hyde Miles | Physical Therapist | 13 Copperfield Dr, Waterford, NY 12188-1093 | 2008-10-28 |
| 1457638264 | Denise Barbara Kochon | Licensed Practical Nurse | 123 Guideboard Rd Apt C, Waterford, NY 12188-1107 | 2011-11-08 |
| 1578568556 | Edward P Franks | Ophthalmology | 22a Church Hill Rd, Waterford, NY 12188-1124 | 2005-06-16 |
| 1720400732 | Leigh Anne Galioto | Speech-Language Pathologist | 4 Anchor Dr, Waterford, NY 12188-1149 | 2014-01-09 |
| 1952765471 | Alexandra Lynn Williams | Speech-Language Pathologist | 8 Lighthouse Dr, Waterford, NY 12188-1163 | 2016-04-11 |
| Find all providers in zip 12188 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675214 | Dayna Niewolak | Nurse Practitioner | 3034 Harbor Ct, Waterford, MI 48328-2593 | 2020-06-29 |
| 1184273179 | Cathy Jo Duchow-cross | Nurse Practitioner | 7914 Foxwater Blvd, Waterford, WI 53185-1882 | 2019-09-11 |
| 1972164366 | Richard Barrie Dalrymple | Nurse Practitioner | 3249 Golfhill Dr, Waterford, MI 48329-4520 | 2019-06-26 |
| 1396301685 | Katelyn Peticca Hawley | Nurse Practitioner | 3525 Karen Pkwy Apt 204, Waterford, MI 48328-4609 | 2019-05-13 |
| 1427552587 | Kailey Allison Temple | Nurse Practitioner | 3901 Highland Rd Ste D, Waterford, MI 48328-2162 | 2018-03-22 |
| 1043696867 | Janetlynne Erickson | Nurse Practitioner | 194 Riviera Ter, Waterford, MI 48328-3465 | 2015-08-04 |
| 1629088802 | Goranka Anne Vucenovic | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-09 |
| 1023013430 | Vickie Lea Deleruyelle | Nurse Practitioner | 151 Anderson Ln, Waterford, OH 45786-5312 | 2005-06-14 |
| 1598244246 | Shera Carolyn Ivy Thompson | Nurse Practitioner | 2446 Elizabeth Lake Rd, Waterford, MI 48328-3310 | 2018-08-13 |
| 1326545369 | Nicole Wendel | Nurse Practitioner | 1724 Airport Rd, Waterford, MI 48327-1390 | 2018-04-06 |
| Find all providers in WATERFORD | ||||
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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.