DR. ANTONY EUGIN MARTIN (NPI# 1174805162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174805162 |
| Entity Type | Individual |
| Full Name | DR. ANTONY EUGIN MARTIN |
| Credential | MD |
| Practice Address |
5121 S Cottonwood St Murray UT 84107-5701 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015071650 |
| Mailing Telephone | 8015071650 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 9376066-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5121 S COTTONWOOD ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
| 1093312183 | Cherysh Hubbard Stock | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-02 |
| 1922605062 | Sydney Schuessler | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-01 |
| 1790398931 | Elayne Manuela Pereira | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1205449436 | Jared Hunt | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1386256428 | Sarah Emily Boyt | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-19 |
| 1972111417 | Megan Neiheiser | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1114535515 | Cory Ray Briggle | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1528676509 | Melanie Nicole Emmerson | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-16 |
| 1205452844 | Kendall Snyder | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| 1912012287 | John Michael Self | Plastic Surgery | 5292 So College Dr, 202, Murray, UT 84123 | 2006-08-20 |
| 1114979812 | John B Hijjawi | Plastic Surgery | 5169 S Cottonwood St Ste 420, Murray, UT 84107-6769 | 2006-05-17 |
| 1427374636 | Neal Griffith Moores | Plastic Surgery | 5169 S Cottonwood St Ste 420, Murray, UT 84107-6769 | 2010-04-13 |
| 1326212234 | R Scott Haupt Md PC | Plastic Surgery | 5292 College Dr, #302, Murray, UT 84123-2672 | 2008-04-22 |
| 1366640153 | Robert Edward Hugh Ferguson Jr. | Plastic Surgery | 5169 Cottonwood St, Suite 410, Murray, UT 84107-6767 | 2007-07-03 |
| 1609070580 | John E Keiter | Plastic Surgery | 6040 Fashion Blvd, Suite 101, Murray, UT 84107 | 2007-06-13 |
| 1881721363 | Ihc Health Services Inc | Plastic Surgery | 5169 Cottonwood St, #410, Murray, UT 84107-6767 | 2007-02-28 |
| 1689613127 | Larry Kent Patton | Plastic Surgery | 5169 Cottonwood St, #410, Murray, UT 84107-6767 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1073151536 | Christine A. Cheng Md PC | Plastic Surgery | 415 Medical Dr Ste D102, Bountiful, UT 84010-8906 | 2019-12-16 |
| 1477016079 | Teresa Zavala | Plastic Surgery | 6169 W Ridge Mesa Cir, West Valley City, UT 84128-5638 | 2019-04-10 |
| 1477041101 | Cranio Ninja LLC | Plastic Surgery | 1055 N 300 W Ste 301, Provo, UT 84604-3373 | 2018-04-27 |
| 1841736501 | Refine The Body Inc | Plastic Surgery | 1300 N 500 E Ste 260, Logan, UT 84341-2417 | 2017-01-18 |
| 1720320179 | Melody Scheefer Van Boerum | Plastic Surgery | 5445 S Highland Dr, Salt Lake City, UT 84117-7629 | 2013-03-25 |
| 1508156928 | Richard Tyrell | Plastic Surgery | 30 N 1900 E Rm 3b400, Salt Lake City, UT 84132-0002 | 2011-04-19 |
| 1194015693 | Jeremy Robert Chidester | Plastic Surgery | 11762 S State St Ste 333, Draper, UT 84020-7166 | 2011-04-18 |
| 1851617815 | Dana Nicole Johns | Plastic Surgery | University of Utah Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0002 | 2010-04-15 |
| 1760705594 | Craig Davis | Plastic Surgery | 3163 N Grasslands Pkwy, Washington, UT 84780-2097 | 2010-03-08 |
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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.