MR. MICHAEL JOHN MARTINO (NPI# 1275507147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275507147 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOHN MARTINO |
| Credential | PA-C |
| Practice Address |
1145 Reservoir Ave Cranston RI 02920-6055 |
| Practice Telephone | 4019426500 |
| Mailing Telephone | 4019426500 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0144 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1275507 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063524635 | Michael Martino | Counselor | 10763 163rd Pl, Orland Park, IL 60467-8861 | 2006-08-31 |
| 1811926561 | Michael J Martino | Family Medicine | 1200 Carson Ave Ste 102, La Junta, CO 81050-2700 | 2006-07-02 |
| 1558399030 | Michael Joseph Martino | Internal Medicine | 1031 Mcbride Ave Ste D212, Woodland Park, NJ 07424-2569 | 2006-06-30 |
| 1861893943 | Michael Martino | Counselor | 860 Hebron Pkwy, 1102, Lewisville, TX 75057-5151 | 2014-09-09 |
| 1427473461 | Michael Anthony Martino IIi | Occupational Therapist | 750 Shipyard Dr, Suite 100, Wilmington, DE 19801-5157 | 2014-02-27 |
| 1679598361 | Michael Louis Martino | Emergency Medicine | 565 Coal Valley Road, Jefferson Regional Medical Center, Pittsburgh, PA 15236 | 2006-07-13 |
| Street Address |
1145 RESERVOIR AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409128 | John Concannon | Pediatrics | 1145 Reservoir Ave, Suite 124, Cranston, RI 02920-6055 | 2005-07-02 |
| 1154935559 | Danielle Claire Lambert | Dietitian, Registered | 1145 Reservoir Ave, Cranston, RI 02920-6055 | 2020-09-02 |
| 1588190565 | Raychel Francias Decorpo | Dietitian, Registered | 1145 Reservoir Ave, Suite 126, Cranston, RI 02920-6055 | 2017-05-11 |
| 1770958688 | Kristina Lopes | Dietitian, Registered | 1145 Reservoir Ave, Suite 126, Cranston, RI 02920-6055 | 2015-12-03 |
| 1649608696 | Prescription Compounding Specialists of Ri, Inc. | Pharmacy | 1145 Reservoir Ave, Suite 116, Cranston, RI 02920-6055 | 2013-10-29 |
| 1861731325 | Penny Joslin Melfi | Mechanotherapist | 1145 Reservoir Ave, Suite 210, Cranston, RI 02920 | 2013-02-04 |
| 1710255278 | Holly R. Holcombe | Dietitian, Registered | 1145 Reservoir Ave, Suite 126, Cranston, RI 02920-6055 | 2011-12-12 |
| 1700169950 | Kate Haffner | Specialist | 1145 Reservoir Ave, Suite 210, Cranston, RI 02920-6055 | 2011-09-23 |
| 1578726030 | Katelynn Elizabeth Volpigno | Mechanotherapist | 1145 Reservoir Ave, Suite 300, Cranston, RI 02920-6055 | 2008-07-05 |
| 1275796740 | Kira E Provost | Registered Nurse | 1145 Reservoir Ave, Suite 300, Cranston, RI 02920-6055 | 2008-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275192353 | Abbigail Boomhover | Physician Assistant | 725 Reservoir Ave Ste 101, Cranston, RI 02910-4450 | 2019-06-11 |
| 1285042671 | Michelle Jacques | Physician Assistant | 2000 Chapel View Blvd Ste 225, Cranston, RI 02920-3087 | 2014-07-29 |
| 1093121642 | Kathleen Salisbury | Physician Assistant | 75 Sockanosset Cross Rd Ste 100, Cranston, RI 02920-5558 | 2014-07-03 |
| 1306128251 | Jodi B Cusack | Physician Assistant | 1150 Reservoir Ave Ste 201, Cranston, RI 02920 | 2011-09-16 |
| 1477520906 | Andrew Macko | Physician Assistant | 1150 New London Ave, Cranston, RI 02920-3036 | 2006-03-03 |
| 1275155574 | Jacquelynn M Dimuccio | Physician Assistant | 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6043 | 2020-05-11 |
| 1790343747 | Billie Burke | Physician Assistant | 333 Budlong Rd, Cranston, RI 02920-6337 | 2019-06-04 |
| 1790141976 | Jacklyn Bradley | Physician Assistant | 333 Budlong Rd, Cranston, RI 02920-6337 | 2016-01-04 |
| 1356756209 | Emily Mckinnon | Physician Assistant | 333 Budlong Rd, Cranston, RI 02920-6337 | 2014-06-29 |
| 1114361623 | Grace Barber | Physician Assistant | 2000 Chapel View Blvd, Suite 225, Cranston, RI 02920-3078 | 2013-04-26 |
| Find all providers in CRANSTON | ||||
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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.