DR. GREGORY CARL MARTIN (NPI# 1184674053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184674053 |
| Entity Type | Individual |
| Full Name | DR. GREGORY CARL MARTIN |
| Credential | M.D. |
| Practice Address |
3196 S Maryland Pkwy Suite 217 Las Vegas NV 89109-2305 |
| Mailing Address |
1449 Foothills Village Dr Henderson NV 89012-7266 |
| Practice Telephone | 7027334944 |
| Practice Fax Number | 7027336507 |
| Mailing Telephone | 7023842345 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10823 | NV | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295203172 | Gregory Warren Martin | Dentist | 5530 Wisconsin Ave Ste 829, Chevy Chase, MD 20815-4401 | 2018-11-08 |
| 1912450891 | Gregory Luis Martin | Physical Therapy Assistant | 4060 Fourth Ave Ste 206, San Diego, CA 92103-2120 | 2016-07-27 |
| 1114288875 | Gregory Warren Martin | Massage Therapist | 4115 6th Ave, Tacoma, WA 98406 | 2012-05-30 |
| 1295979771 | Gregory Albert Martin | Counselor | 466 South Skylane Drive, Durango, CO 81303 | 2009-04-28 |
| 1053509059 | Gregory John Martin | Counselor | 64 Susie Wilson Rd, Essex Junction, VT 05452-2808 | 2007-10-04 |
| 1326107657 | Gregory Edward Martin | Internal Medicine | 550s Mesa Hills Dr A4, El Paso, TX 79912-5758 | 2006-12-06 |
| 1891875423 | Gregory S. Martin | Obstetrics & Gynecology | 1498 Jesse Jewell Pkwy., Ste. D, Gainesville, GA 30501-3874 | 2006-10-17 |
| 1588677082 | Gregory Paul Martin | Dentist | 1210 Lancaster Drive, Champaign, IL 61821-7028 | 2006-08-14 |
| 1619995867 | Gregory John Martin | Family Medicine | 1121 F St, Reedley, CA 93654-3028 | 2006-07-17 |
| 1194782771 | Gregory D Martin | Surgery | 3338 Country Club Rd Ste M, Valdosta, GA 31605-1045 | 2006-04-27 |
| Street Address |
3196 S MARYLAND PKWY SUITE 217 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739601 | Howard I Baron | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2314 | 2005-12-01 |
| 1215382387 | Hughes & Sanders, LLC | Dentist | 3196 S Maryland Pkwy, Suite 307, Las Vegas, NV 89109-2305 | 2016-04-26 |
| 1750792990 | Healthy Kids Pediatrics LLC | Pediatrics | 3196 S Maryland Pkwy, 400, Las Vegas, NV 89109-2305 | 2014-05-09 |
| 1437429842 | Sharon Schaffer | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2305 | 2012-01-03 |
| 1386872265 | Christopher Richardson | Surgery | 3196 S Maryland Pkwy, Suite 101, Las Vegas, NV 89109-2305 | 2009-06-30 |
| 1134354350 | Teresa R Carroll | Nurse Practitioner | 3196 S Maryland Pkwy, #309, Las Vegas, NV 89109-2305 | 2009-05-18 |
| 1770607871 | Matthew S Johnson | Surgery | 3196 S Maryland Pkwy, Suite 101-a, Las Vegas, NV 89109-2305 | 2007-03-16 |
| 1104959782 | University of Nv School of Medicine Multi Specialty Group Practice So | Obstetrics & Gynecology | 3196 S Maryland Pkwy, #209, Las Vegas, NV 89109-2305 | 2007-03-13 |
| 1811085459 | Gastrointestinal Diagnostic Clinic | Clinic/Center | 3196 S Maryland Pkwy, Suite 207, Las Vegas, NV 89109-2305 | 2006-10-10 |
| 1932294980 | Ernest M. Sussman | Urology | 3196 S Maryland Pkwy, Ste. 410, Las Vegas, NV 89109-2305 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1710503305 | Michelle Mong Chan | Specialist | 5250 S Rainbow Blvd Unit 1138, Las Vegas, NV 89118-0630 | 2020-06-19 |
| 1821627878 | Anita Sidhu | Specialist | 9916 Pipestone St, Las Vegas, NV 89141-8667 | 2020-04-02 |
| 1316571144 | Jessica Lynn Bosch | Specialist | 2452 Desert Glen Dr, Las Vegas, NV 89134-8871 | 2020-03-02 |
| 1255963229 | Samantha Muro | Specialist | 4400 S Jones Blvd Unit 1017, Las Vegas, NV 89103-3336 | 2020-02-07 |
| 1417431024 | Misnelli Diaz-osorio | Specialist | 4714 E Flamingo Rd, Las Vegas, NV 89121-4709 | 2018-09-19 |
| 1265920011 | Mike Henley | Specialist | 8220 W Charleston Blvd, Las Vegas, NV 89117-1219 | 2018-04-27 |
| 1811485691 | George Alan Wheeler | Specialist | 2750 S Durango Dr Apt 2058, Las Vegas, NV 89117-2645 | 2018-04-26 |
| 1477082261 | Stephanie Staub | Specialist | 929 Boulder Mesa Dr Unit 102, Las Vegas, NV 89128-4151 | 2017-06-06 |
| 1124562327 | Medical Massage Rehab, LLC | Specialist | 945 Falconhead Ln Unit 202, Las Vegas, NV 89128-0332 | 2016-12-07 |
| 1396296323 | Kori Jeffries | Specialist | 8625 Dollhouse Dr, Las Vegas, NV 89145-4839 | 2016-10-14 |
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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.