DEAN ERWIN MARTIN (NPI# 1154338549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154338549 |
| Entity Type | Individual |
| Full Name | DEAN ERWIN MARTIN |
| Credential | M.D. |
| Practice Address |
550 S Peoria Ave Tulsa OK 74120-3820 |
| Practice Telephone | 9185881900 |
| Practice Fax Number | 9183821242 |
| Mailing Telephone | 9185881900 |
| Mailing Fax Number | 9183821242 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
13789 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | COMMUNITY CARE OF OKLAHOMA | 73-1042545 | 01 |
| OK | GROUP MEDICARE | 73-1042545 | 01 |
| OK | BLUE CROSS BLUE SHEILD | 73-1042545 | 01 |
| OK | MEDICAID/SOONERCARE GROUP # | 100732910 | 01 |
| OK | TRICARE GROUP # | 73-1042545 | 01 |
| OK | 100123800-A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700447398 | Dean Martin | Peer Specialist | 35 Barker Ave Apt 6a, White Plains, NY 10601-1663 | 2019-06-24 |
| 1992250328 | Dean Martin | Counselor | 2 Beech St, Hallowell, ME 04347-1518 | 2016-08-15 |
| 1023115631 | Dean R Martin | Obstetrics & Gynecology | 2035 Ralph Avenue, Suite C, Brooklyn, NY 11234 | 2006-09-19 |
| 1154334795 | Dean W Martin | Nurse Anesthetist, Certified Registered | 111 W State St, Boise, ID 83702-6127 | 2006-08-14 |
| 1780640987 | Dean Martin | Anesthesiology | 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | 2006-04-25 |
| 1871573204 | Dean T Martin | Family Medicine | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 | 2006-01-20 |
| Street Address |
550 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538942 | Carolyn Louise Cobb | Emergency Medicine | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2006-06-20 |
| 1487266540 | Tanya Lee Cain | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-20 |
| 1851903918 | Alicia Kay Ortman | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-20 |
| 1790397982 | Linda Lynn Almanza | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1437761517 | Brenda Gayle Taylor | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1780296871 | Jessica Ranae Rimer | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1255943437 | Treece Louise Sutton | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1093327603 | Keenan Charles Reed | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-17 |
| 1861004467 | Shannon Renee Woodstock | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-17 |
| 1437760261 | Anne Marie Lisko | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316176340 | Andrew Hyun Liew | Psychiatry & Neurology | 4444 E 41st St Fl 3, Tulsa, OK 74135-2527 | 2009-07-13 |
| 1285640102 | Chariny Michelle Herring | Psychiatry & Neurology | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2006-07-31 |
| 1053708701 | Hilary Redemann | Psychiatry & Neurology | 4444 E 41st St, Tulsa, OK 74135-2527 | 2015-04-21 |
| 1386064988 | Ranelle Monterry Bracy-lewis | Psychiatry & Neurology | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2014-04-22 |
| 1376845578 | Capes Clinic, LLC | Psychiatry & Neurology | 5350 E 46th St, Suite 110, Tulsa, OK 74135-6612 | 2010-11-22 |
| 1992898209 | David L Shadid Do Inc | Psychiatry & Neurology | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2006-10-02 |
| 1346342664 | Dean E. Martin, M.d., PC | Psychiatry & Neurology | 2121 S Columbia Ave, Suite 301, Tulsa, OK 74114-3505 | 2006-09-05 |
| 1336251990 | Dion Lapoint Owens | Psychiatry & Neurology | 6262 S Sheridan Rd, Tulsa, OK 74133-4055 | 2006-08-31 |
| 1679544340 | Khalil M. Saliba | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-01-30 |
| 1376514125 | Christopher Matthew Garrett Puls | Psychiatry & Neurology | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2006-01-30 |
| Find all providers in TULSA | ||||
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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.