DR. JASON ROBERT MARTIN (NPI# 1235549205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235549205 |
| Entity Type | Individual |
| Full Name | DR. JASON ROBERT MARTIN |
| Credential | M.D. |
| Practice Address |
651 Centre View Blvd Crestview Hills KY 41017-5423 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593713376 |
| Practice Fax Number | 8592821600 |
| Mailing Telephone | 8593713376 |
| Mailing Fax Number | 8592821600 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 53911 | KY | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 35-134208 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0311385 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275174187 | Jason Isaiah Martin | Behavior Technician | 930 Saint Francis Blvd Apt 2073, Daly City, CA 94015-4336 | 2019-10-01 |
| 1528521028 | Jason Timothy Martin | Counselor | 2940 Breezewood Ave Ste 100, Fayetteville, NC 28303-5521 | 2019-04-11 |
| 1245738244 | Jason Lloyd Martin | Nurse Practitioner | 100 Hospital St Ste 100, Booneville, MS 38829-3354 | 2018-01-25 |
| 1154793883 | Jason Martin | Counselor | 4406 Chambers Rd, Apt F11, Macon, GA 31206-4725 | 2015-10-21 |
| 1841629417 | Jason M Martin | Nurse Practitioner | 2110 W 23rd St Ste C, Panama City, FL 32405-2370 | 2013-11-05 |
| 1639507551 | Jason Martin | Nurse Practitioner | 13734 S 1st E, Idaho Falls, ID 83404-7852 | 2013-10-31 |
| 1306178769 | Jason Benson Martin | Physical Therapist | 2311 Lake Aprk Drive, Albany, GA 31707 | 2010-02-09 |
| 1972150787 | Jason Martin | Counselor | 343 Dela Vina Ave, Monterey, CA 93940-3974 | 2019-08-26 |
| 1043878796 | Jason Martin | Technician | 1350 E M 21, Owosso, MI 48867-8000 | 2019-05-29 |
| 1083173488 | Jason A. Martin | Nurse Practitioner | 600 N Jackson St, Tullahoma, TN 37388-3542 | 2019-03-15 |
| Street Address |
651 CENTRE VIEW BLVD |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103777 | Oncology Hematology Care, Inc. | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2005-06-09 |
| 1790322444 | Jennifer Suzanne Heminger | Nurse Practitioner | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2019-12-02 |
| 1174034961 | Kelly Rawe | Nurse Practitioner | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2017-10-19 |
| 1760886378 | Holly Vandergriff | Registered Nurse | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2014-10-13 |
| 1205235140 | Pamela Brock | Nurse Practitioner | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2014-08-16 |
| 1720425952 | Sarah F Keller | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2013-05-29 |
| 1942565841 | Luis Carlos Watanabe Tejada | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2012-07-08 |
| 1336403914 | Abraham Llapitan Tacang | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2012-06-28 |
| 1710244397 | Nicole Marie Warner | Dermatology | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2012-04-19 |
| 1861768988 | Steven Jeffrey Campbell Jr. | Internal Medicine | 651 Centre View Blvd, Crestview Hills, KY 41017 | 2012-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083664072 | Stephanie Ann Snyder | Dermatology | 215 Thomas More Pkwy Ste A, Crestview Hills, KY 41017-3498 | 2006-05-11 |
| 1427007236 | Dermatology Specialists of Northern Kentucky Psc | Dermatology | 215a Thomas More Pkwy, Crestview Hills, KY 41017-3498 | 2006-05-09 |
| 1104818798 | William B. Hoppenjans | Dermatology | 2701 Chancellor Dr, Crestview Hills, KY 41017-5479 | 2005-08-18 |
| 1710244397 | Nicole Marie Warner | Dermatology | 651 Centre View Blvd, Crestview Hills, KY 41017-5423 | 2012-04-19 |
| 1528254992 | Northern Kentucky Dermatology Psc | Dermatology | 2701 Chancellor Dr, Crestview Hills, KY 41017-5479 | 2007-09-19 |
| 1194866715 | Sarah Eilerman Weinel | Dermatology | 215 Thomas More Pkwy Ste A, Crestview Hills, KY 41017-3498 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
| 1053757641 | Chase Landon Wilson | Dermatology | 304 Boston Sq, Georgetown, KY 40324-9786 | 2013-05-22 |
| 1316206584 | Carol B Thompson | Dermatology | 3475 Richmond Rd Ste 200, Lexington, KY 40509-2500 | 2012-05-09 |
| 1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
| 1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
| 1811285117 | Dermatology Associates of Pikeville, Pllc | Dermatology | 1098 S Mayo Trl Ste 211, Pikeville, KY 41501-1574 | 2011-07-20 |
| 1770806424 | Kentucky Dermatology Clinic, Pllc | Dermatology | 120 State Ave, Glasgow, KY 42141-1451 | 2010-03-09 |
| 1629243860 | J David Outland, M.d. | Dermatology | 300 S 8th St Ste 405e, Murray, KY 42071-2444 | 2008-04-29 |
| 1659542058 | Ky Dermatology & Skin Cancer | Dermatology | 1750 Highway 192 W, London, KY 40741-2639 | 2008-03-13 |
| 1609047083 | Bowling Green Dermatology & Skin Cancer Specialists Pllc | Dermatology | 1106 Fairway Street, Bowling Green, KY 42103 | 2008-03-13 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.