DR. LILLA GAYLE MARTIN (NPI# 1275516999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275516999 |
| Entity Type | Individual |
| Full Name | DR. LILLA GAYLE MARTIN |
| Credential | M.D. |
| Practice Address |
1893 Kingsley Ave Suite B Orange Park FL 32073-4491 |
| Practice Telephone | 9042726955 |
| Practice Fax Number | 9042725001 |
| Mailing Telephone | 9042726955 |
| Mailing Fax Number | 9042725001 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2010-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME0030921 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 065902900 | 05 |
| Street Address |
1893 KINGSLEY AVE SUITE B |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373801 | Robert J Still | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 | 2005-06-01 |
| 1083107965 | Michael Rucker II | Physician Assistant | 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 | 2018-06-14 |
| 1578736815 | Jennifer Ann Mccrea | Nurse Practitioner | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2008-04-08 |
| 1659561405 | Kristi L Christman | Physician Assistant | 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 | 2007-07-27 |
| 1134279458 | Thomas J Schneider | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2007-01-11 |
| 1972513513 | Lawrence Ernest Coots | Internal Medicine | 1893 Kingsley Ave, Ste C, Orange Park, FL 32073-4491 | 2006-08-08 |
| 1568481224 | Stuart Z Millstone | Internal Medicine | 1893 Kingsley Ave, Ste C, Orange Park, FL 32073-4491 | 2006-07-19 |
| 1053330787 | Eugene H Mccoskey | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4421 | 2006-07-19 |
| 1689692329 | Pulmonary and Critical Care Associates P A | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2006-07-18 |
| 1407815525 | Luis Fernando Laos | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2006-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1871879841 | Advanced Cardiac Diagnostics LLC | Internal Medicine | 2507 Holly Point Rd E, Orange Park, FL 32073-5632 | 2011-10-22 |
| 1871600783 | Youssef Al-saghir | Internal Medicine | 1681 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4819 | 2006-08-24 |
| 1962464685 | Hossein Ramezani | Internal Medicine | 1518 Kingsley Ave, Orange Park, FL 32073-4511 | 2006-04-06 |
| 1336128792 | David Roger Grech | Internal Medicine | 1679 Eagle Harbor Pkwy Ste B, Orange Park, FL 32003-4816 | 2006-01-13 |
| 1386645778 | Jayalakshmi Padmanabhan | Internal Medicine | 108 Kingsley Ave, Orange Park, FL 32073-5685 | 2005-08-09 |
| 1194728303 | Paul A Bednarzyk | Internal Medicine | 2300 Park Ave, Suite 101-b, Orange Park, FL 32073-5572 | 2005-05-23 |
| 1679576870 | Carlos A Leon | Internal Medicine | 2300 Park Avenue, Suite 101-b, Orange Park, FL 32073-5072 | 2005-05-23 |
| 1578805875 | Baptist Cardiology Inc | Internal Medicine | 1747 Baptist Clay Rd, Orange Park, FL 32003-8501 | 2013-03-25 |
| 1609117845 | Physicians Group Services Pa | Internal Medicine | 1560 Kingsley Ave, Suite 3, Orange Park, FL 32073-4593 | 2013-03-13 |
| 1639388069 | Jayalakshmi Padmanabhan Md, Pa | Internal Medicine | 108 Kingsley Ave, Orange Park, FL 32073-5685 | 2007-05-22 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.