DAVID T MARTIN (NPI# 1215971692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215971692 |
| Entity Type | Individual |
| Full Name | DAVID T MARTIN |
| Credential | M.D. |
| Practice Address |
41 Mall Road Lahey Clinic, Inc. Burlington MA 01805-0001 |
| Practice Telephone | 7817445100 |
| Practice Fax Number | 7817445261 |
| Mailing Telephone | 7817445100 |
| Mailing Fax Number | 7817445261 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 71280 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
71280 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110050724A | 05 | |
| MA | MEDICAL LICENSE NUMBER | 71280 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529688 | David Andrew Martin | Contractor | 15310 Cr T.37, La Jara, CO 81140 | 2018-05-22 |
| 1215441811 | David Robert Martin | Peer Specialist | 313 E Edwards St Apt B5, Edmond, OK 73034-4597 | 2017-11-20 |
| 1518340298 | David Martin | Counselor | 2082 S Stonyfield Pl, Boise, ID 83709-5508 | 2015-06-30 |
| 1982954376 | David Eugene Martin | Nurse Practitioner | 2145 Stonecrest Path, New Braunfels, TX 78130-9414 | 2012-09-13 |
| 1245585413 | David William Martin Jr. | Internal Medicine | 300 Utah Ave, Suite 150, South San Francisco, CA 94080-6800 | 2012-07-13 |
| 1437469483 | David Emory Martin | Dentist | 2911 A W Grimes Blvd, Ste. 106, Pflugerville, TX 78660-5458 | 2010-10-08 |
| 1427375989 | David L Martin | Pharmacist | 64 N Mercer Ave, Sharpsville, PA 16150-2234 | 2010-04-23 |
| 1669646865 | David Walker Martin | Mechanotherapist | 5615m Jackson Street Ext Ste 102, Alexandria, LA 71303-2274 | 2008-04-17 |
| 1831362060 | David A Martin | Licensed Practical Nurse | 1394 E Bristol Rd, Flint, MI 48529-2212 | 2008-04-09 |
| 1376711093 | David Joseph Martin | Dentist | 938 Dewing Ave, Suite 2, Lafayette, CA 94549-4271 | 2008-02-15 |
| Street Address |
41 MALL ROAD LAHEY CLINIC, INC. |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1770109258 | Vivek Sinanan | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Burlington, MA 01805 | 2020-06-22 |
| 1023671351 | Anne Marcia Woodbury | Nurse Anesthetist, Certified Registered | 41 Mall Road, Burlington, MA 01805 | 2019-04-22 |
| 1902385099 | Bridget Watts | Nurse Practitioner | 41 Mall Road, Burlington, MA 01805 | 2018-08-09 |
| 1710464300 | Lynn Breymer | Registered Nurse | 41 Mall Road, Lahey Clinic, Inc., Burlington, MA 01805-0001 | 2018-07-26 |
| 1154840130 | Melissa Ann Cucchi | Nurse Practitioner | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2017-09-11 |
| 1386168532 | Kimberly Ann Kisil | Social Worker | 41 Mall Road, Burlington, MA 01803 | 2017-07-31 |
| 1942722939 | Ali Al Jabri | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Burlington, MA 02155 | 2017-07-11 |
| 1881114197 | Markus Ricci | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Burlington, MA 01805 | 2017-06-27 |
| 1902326200 | David Mintz | Student in an Organized Health Care Education/Training Program | 41 Mall Road, Graduate Medical Education, Burlington, MA 01805 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| Find all providers in zip 01805 | ||||
| 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 |
|---|---|---|---|---|
| 1245673284 | Brian B Agbor-etang | Internal Medicine | 1236 Huffman Mill Rd Ste 130, Burlington, NC 27215-8700 | 2013-04-09 |
| 1053528554 | Muhammad Arida | Internal Medicine | 1225 Huffman Mill Rd Ste 202, Burlington, NC 27215-8789 | 2007-05-16 |
| 1821122722 | Yasmin Masood | Internal Medicine | 111 Cholchester Ave, Fahc Uvm, Burlington, VT 05401 | 2007-03-15 |
| 1598868499 | Matthew Wells Watkins | Internal Medicine | Card Unit, Mcclure 1, Fahc, Burlington, VT 05401 | 2006-09-06 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1932196938 | Ghulam Muqtada Chaudhry | Internal Medicine | 41 Mall Rd., Lahey Clinic, Inc., Burlington, MA 01805-0001 | 2005-10-04 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1023624657 | Healthone Heart Care LLC | Internal Medicine | 286 16th St, Burlington, CO 80807-1651 | 2020-09-18 |
| 1083052252 | Ahmed A Harhash | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-06-11 |
| 1689930612 | Robert L Richmond | Internal Medicine | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-04-03 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
Please comment or provide details below to improve the information on DAVID T MARTIN.
| 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.