DAVID JOHN MARTIN (NPI# 1225036320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225036320 |
| Entity Type | Individual |
| Full Name | DAVID JOHN MARTIN |
| Credential | M.D. |
| Practice Address |
4415 Sonoma Hwy Suite A Santa Rosa CA 95409-7100 |
| Practice Telephone | 7075372070 |
| Practice Fax Number | 7075379696 |
| Mailing Telephone | 7075372070 |
| Mailing Fax Number | 7075379696 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A82729 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARD | P00051386 | 01 | |
| CA | GR0067920 | 05 |
| 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 |
4415 SONOMA HWY SUITE A |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780073957 | Adventist Health Physicians Network | Clinic/Center | 4415 Sonoma Hwy, Suite D, Santa Rosa, CA 95409-7100 | 2015-01-12 |
| 1275710006 | Chico Feminist Women's Health Center | Clinic/Center | 4415 Sonoma Hwy, Suite D, Santa Rosa, CA 95409-7100 | 2008-01-23 |
| 1639220189 | North Bay Medical Group Surgery Center | Clinic/Center | 4415 Sonoma Hwy, Suite B, Santa Rosa, CA 95409-7100 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417019902 | Donald Infanger Vangiesen | Urology | 3435 Happy Valley Ct, Santa Rosa, CA 95404 | 2006-12-14 |
| 1790700532 | Thomas Duckett | Urology | 500 Doyle Park Dr Ste 303, Santa Rosa, CA 95405-4559 | 2006-07-13 |
| 1376505180 | Michael J Lazar Jr. | Urology | 1140 Sonoma Ave, Ste 1a, Santa Rosa, CA 95405-4817 | 2006-04-05 |
| 1083690259 | Paul Doey Mcadams | Urology | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3658 | 2005-12-20 |
| 1306078050 | Adam Geoffrey Kaplan | Urology | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3658 | 2009-08-13 |
| 1285896605 | Yagil Barazani | Urology | 401 Bicentennial Way, Kaiser Santa Rosa Medical Center, Dept of Urology, Santa Rosa, CA 95403 | 2008-06-26 |
| 1366628224 | Sutter Medical Group of The Redwoods | Urology | 500 Doyle Park Dr, Ste. 303, Santa Rosa, CA 95405-4558 | 2008-01-10 |
| 1366526337 | Mark F. Klein | Urology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1972687960 | James K. Palmer II | Urology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1912910811 | Michael J. Lazar, Jr., M.d., Professional Medical Corporation | Urology | 1140 Sonoma Ave, Suite 1a, Santa Rosa, CA 95405-4817 | 2006-08-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
Please comment or provide details below to improve the information on DAVID JOHN 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.