CRAIG RANDALL MARTIN (NPI# 1144509860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144509860 |
| Entity Type | Individual |
| Full Name | CRAIG RANDALL MARTIN |
| Credential | M.D. |
| Practice Address |
13403 Boyette Rd Riverview FL 33569-8742 |
| Practice Telephone | 8136541775 |
| Practice Fax Number | 8136519082 |
| Mailing Telephone | 8136541775 |
| Mailing Fax Number | 8136519082 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME42666 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895175 | Craig Martin | Physician Assistant | 1 Atwell Rd, Cooperstown, NY 13326-1394 | 2019-01-12 |
| 1316321490 | Craig Martin | Dentist | 1405 E Elms Rd, Killeen, TX 76542-2810 | 2015-07-17 |
| 1073948238 | Craig Anthony Martin | Pharmacist | 850 S Guild Ave, Lodi, CA 95240-3170 | 2013-09-06 |
| 1417111279 | Craig Joseph Martin | Social Worker | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 | 2008-07-10 |
| 1477744753 | Craig Stephen Martin | Chiropractor | 3101 Fern Valley Rd, Suite 13, Louisville, KY 40213-3562 | 2007-08-05 |
| 1992905038 | Craig Joseph Martin | Chiropractor | 103 W College Ave, Suite 406, Appleton, WI 54911-5770 | 2007-07-18 |
| 1063570646 | Craig Martin | Psychiatry & Neurology | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2006-12-05 |
| 1437170974 | Craig M Martin | Obstetrics & Gynecology | 1622 Westgate Cir, Brentwood, TN 37027-8019 | 2006-07-21 |
| Street Address |
13403 BOYETTE RD |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33569-8742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356677 | Margaret A Colleran | Internal Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2005-06-15 |
| 1285002816 | Take Control Physical Therapy Services, LLC | Physical Therapist | 13403 Boyette Rd, Take Control Physical Therapy, Riverview, FL 33569-8742 | 2015-09-14 |
| 1639304389 | Ren Bernardo | Family Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2009-05-26 |
| 1518054360 | Alfreda Sonneveldt | Counselor | 13403 Boyette Rd, Riverview, FL 33569 | 2006-10-05 |
| 1225122468 | Gary Donald Woodiwiss | Physician Assistant | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-10-03 |
| 1821004839 | Nancy Rodriguez | Physical Therapist | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-07-31 |
| 1902822323 | Jaima Peyton Woodiwiss | Family Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-07-15 |
| 1720044027 | John E Cameron | Physician Assistant | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-04-25 |
| 1831161140 | Andrew David Tagle | Nurse Practitioner | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2006-02-02 |
| 1104826726 | Cheryl Lee Sellers | Family Medicine | 13403 Boyette Rd, Riverview, FL 33569-8742 | 2005-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1376023945 | Lithia Assisted Living LLC | Assisted Living Facility | 13470 Boyette Rd, Riverview, FL 33569 | 2018-08-14 |
| 1992223911 | Flobert Lubin | Registered Nurse | 11135 Lakeside Vista Dr, Riverview, FL 33569 | 2017-08-30 |
| 1467908087 | Publix Super Markets Inc | Pharmacy | 11460 S Us Highway 301, Riverview, FL 33569 | 2016-09-01 |
| 1669831004 | Sandra M Santos | Dentist | 11478 S Us Hwy 301 S, Riverview, FL 33569 | 2016-02-13 |
| 1740509876 | Balanced Home Healthcare, Inc. | Home Health | 10855 Boyette Road, Riverview, FL 33569 | 2010-05-28 |
| 1801114160 | Zahid I Choudary | Psychiatry & Neurology | American Telestroke and Neurology Inc, 11922 Boyette Rd, Riverview, FL 33569 | 2010-05-12 |
| 1033348974 | Keri Ann Herro | Chiropractor | 11974 Balm Riverview Road, Riverview, FL 33569 | 2009-07-14 |
| 1689838666 | Danoosh Shiravand Amrooei | Dentist | 10845 W Bloomingdale Ave, Riverview, FL 33569 | 2008-07-18 |
| Find all providers in zip 33569 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765443 | Premier Cardiovascular Center, LLC | Internal Medicine | 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 | 2020-09-16 |
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1972123701 | Heart Clinic of Central Florida LLC | Internal Medicine | 52 Riley Rd # 429, Celebration, FL 34747-5420 | 2020-04-22 |
| 1205465440 | Cardiology Group Panel LLC | Internal Medicine | 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 | 2020-04-08 |
| 1346876745 | H & D Cardiology, Pa | Internal Medicine | 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 | 2020-03-17 |
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1962064493 | Ckk Medical LLC | Internal Medicine | 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 | 2019-07-04 |
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
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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.