DR. EDWARD W MARTIN (NPI# 1194715060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194715060 |
| Entity Type | Individual |
| Full Name | DR. EDWARD W MARTIN |
| Credential | M.D. |
| Practice Address |
169 George St Pawtucket RI 02860-3853 |
| Mailing Address |
28 12th Ave Warwick RI 02886-8430 |
| Practice Telephone | 4017277070 |
| Mailing Telephone | 4017397551 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
6370 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659518751 | Edward D Martin | Pediatrics | 5309 1st Pl N, Arlington, VA 22203-1246 | 2009-01-11 |
| 1700821758 | Edward L Martin | Chiropractor | 5905 W Rolling Hills Dr, Bridgeport, MI 48722-9656 | 2006-06-16 |
| 1932152162 | Edward Martin Jr. | Surgery | 300 W. 10th Avenue, Columbus, OH 43210 | 2006-05-18 |
| 1316995269 | Edward Joseph Martin | Ophthalmology | 246 New Scotland Ave, Albany, NY 12208-3101 | 2006-05-04 |
| 1578526208 | Edward James Martin | Dentist | 1302 Pearl St, Covington, IN 47932 | 2006-04-12 |
| 1639737109 | Edward John Martin | Behavior Technician | 800 Howe Ave Ste 140, Sacramento, CA 95825-3965 | 2019-05-30 |
| 1093014292 | Edward T Martin | Counselor | 563 N Main St, Waynesville, NC 28786-3817 | 2011-03-28 |
| 1518276864 | Edward J Martin Jr. | Counselor | 1508 Main St, Great Bend, KS 67530-4007 | 2010-10-05 |
| 1194992255 | Edward H Martin | Counselor | 1111 N Eastman Rd, Kingsport, TN 37664-3156 | 2008-05-08 |
| 1760678189 | Edward L Martin | Specialist/Technologist, Other | 5901 Broken Sound Pkwy, Ste. 500, Boca Raton, FL 33487-2773 | 2007-09-19 |
| Street Address |
169 GEORGE ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699890681 | Linda Carol Coffin | Internal Medicine | 169 George St, Pawtucket, RI 02860-3853 | 2007-03-20 |
| 1083799530 | Lifespan Corp Lfspn Dsi Dba Hospice of Ri | Home Health | 169 George St, Pawtucket, RI 02860-3853 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1578547212 | Naomi Y Mcmackin | Internal Medicine | Memorial Hospital of Ri, 111 Brewster Street, Pawtucket, RI 02860-1400 | 2005-12-06 |
| 1376815142 | Erkan Ozturk | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2012-02-08 |
| 1033415682 | Mriganka Singh | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2011-01-30 |
| 1912148198 | Lidia A Vognar | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2009-03-17 |
| 1417901687 | David M Dosa | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5299 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366646820 | Kimberly A Dodd | Internal Medicine | 150 Chestnut St Ste 4, Providence, RI 02903-4649 | 2007-06-11 |
| 1730143025 | James David Burrill | Internal Medicine | 9 Thomas Dr, Lincoln, RI 02865-4914 | 2006-04-13 |
| 1205822277 | Michael Klufas | Internal Medicine | 525 Broad St, Suite 103, Cumberland, RI 02864-6919 | 2005-09-23 |
| 1346760568 | Marilyne Cadieux | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-20 |
| 1568831162 | Gps Physician Group of Rhode Island PC | Internal Medicine | 10 Woodland Dr, Coventry, RI 02816-6716 | 2015-09-24 |
| 1588001531 | Ramesh Adhikari | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-05-31 |
| 1235576380 | Sylvester Sarfraz | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-05-30 |
| 1477843696 | Edward Westrick | Internal Medicine | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2011-04-08 |
| 1851615553 | Julio C Defillo Draiby | Internal Medicine | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2212 | 2010-03-24 |
| 1528394178 | Cumberland Primary Care Inc | Internal Medicine | 2138 Mendon Rd, Suite 101a, Cumberland, RI 02864-3834 | 2009-11-02 |
| 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.