SHAREL A MARTIN (NPI# 1114917648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114917648 |
| Entity Type | Individual |
| Full Name | SHAREL A MARTIN |
| Credential | MD |
| Practice Address |
325 Butts Ave Tomah WI 54660-1412 |
| Practice Telephone | 6083725951 |
| Practice Fax Number | 6083723436 |
| Mailing Telephone | 6083725951 |
| Mailing Fax Number | 6083723436 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2015-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 37339-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 37339 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
325 BUTTS AVE |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052182 | Thomas E Boulden | Optometrist | 325 Butts Ave, Tomah, WI 54660-1412 | 2005-06-10 |
| 1124552542 | Karyn Cecele | Family Medicine | 325 Butts Ave, Tomah, WI 54660-1412 | 2017-04-12 |
| 1790239952 | Meagan Vlasek | Nurse Practitioner | 325 Butts Ave, Tomah, WI 54660-1412 | 2016-08-04 |
| 1114389186 | Kyle Christian Thomas | Family Medicine | 325 Butts Ave, Tomah, WI 54660-1412 | 2016-03-28 |
| 1588002125 | Heather A. Fortuine | Physical Therapist | 325 Butts Ave, Tomah, WI 54660-1412 | 2013-06-05 |
| 1386935807 | Edward A. Luker | Counselor | 325 Butts Ave, Tomah, WI 54660-1412 | 2011-05-02 |
| 1225353576 | Andrew Last | Family Medicine | 325 Butts Ave, Tomah, WI 54660 | 2010-03-30 |
| 1467694455 | Krista Ann Scharer | Family Medicine | 325 Butts Ave, Tomah, WI 54660-1412 | 2009-04-06 |
| 1841499431 | Julie C Howard | Family Medicine | 325 Butts Ave, Tomah, WI 54660-1412 | 2007-07-13 |
| 1508077520 | Jill E Boulden | Family Medicine | 325 Butts Ave, Tomah, WI 54660-1412 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740227222 | Emile W. Salvo | Emergency Medicine | 17312 Interlude Rd, Tomah, WI 54660-6678 | 2006-06-01 |
| 1619484532 | Kimberly Hatch | Emergency Medicine | 321 Butts Ave, Tomah, WI 54660-1412 | 2017-12-30 |
| 1043741507 | Adam J Haggerty | Emergency Medicine | 321 Butts Ave, Tomah, WI 54660-1412 | 2017-03-25 |
| 1992970453 | Tomah Memorial Hospital Inc | Emergency Medicine | 501 Gopher Dr, Tomah, WI 54660-4513 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.