DR. RYAN JAMES MARTIN (NPI# 1285173591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285173591 |
| Entity Type | Individual |
| Full Name | DR. RYAN JAMES MARTIN |
| Credential | D.O. |
| Practice Address |
5001 Hardy St Hattiesburg MS 39402-1308 |
| Mailing Address |
1514 Vernon Rd Lagrange GA 30240-4131 |
| Practice Telephone | 6012963963 |
| Mailing Telephone | 7068122369 |
| Mailing Fax Number | 7068453194 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 86029 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 86029 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MS | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1514 Vernon Rd, Lagrange, GA 302404131 | 7068122369 | 7068453194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588032205 | Ryan Kyle Martin | Physical Therapist | 10 Canalview Mall Ste C, Fulton, NY 13069-1769 | 2015-09-11 |
| 1124265053 | Ryan Andrew Martin | Counselor | 1401 S Waldron Rd Ste 200, Fort Smith, AR 72903-2590 | 2009-01-14 |
| 1780708388 | Ryan Martin | Physical Therapist | 63-17 Metropolitan Avenue, Middle Village, NY 11379 | 2007-03-19 |
| 1407457815 | Ryan Martin | Pharmacist | 1111 Hayes Ave, Sandusky, OH 44870-3323 | 2020-11-03 |
| 1366080947 | Ryan Martin | Dietitian, Registered | 41 Burlington Mall Rd, Burlington, MA 01805-0001 | 2019-12-14 |
| 1922654284 | Ryan Martin | Pharmacist | 788 W Pike St, Clarksburg, WV 26301-2649 | 2019-08-13 |
| 1093299737 | Ryan Martin | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-09-19 |
| 1659734580 | Ryan Christopher Martin | Emergency Medicine | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2016-03-29 |
| 1457711780 | Ryan Kevin Martin | Internal Medicine | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-02-29 |
| 1467825372 | Ryan Timothy Martin | Chiropractor | 317 W 11th St, Kearney, NE 68845-7331 | 2015-11-02 |
| Street Address |
5001 HARDY ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475315 | Gregory Richard Sims | Registered Nurse | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2005-05-24 |
| 1497377170 | Kristi Morgan | Social Worker | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-05-15 |
| 1275154619 | Wesley Health System LLC | Clinical Medical Laboratory | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-04-27 |
| 1477181899 | Shivalika Rhea Singh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1750919163 | Christopher Riley | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1295363729 | Hora Nemati Rezvani | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1275161788 | Michael Corso | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1871121582 | Alexander Oh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-29 |
| 1073141891 | Vashishtha Patel | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| 1316575160 | Madeline Sarah Larossa | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1992166094 | Med Options LLC. | Internal Medicine | 5266 Old Highway 11, Ste 70 Pmb 104, Hattiesburg, MS 39402-7817 | 2016-03-16 |
| 1598016222 | Orlando Ray Burt | Internal Medicine | 2111 Country Club Rd, Hattiesburg, MS 39401-8880 | 2012-09-20 |
| 1710137906 | Hannelore Hendygain Giles | Internal Medicine | 2500 Sierra Cir, Hattiesburg, MS 39402-2540 | 2008-09-24 |
| 1154580249 | Deepu Raphael Thoppil | Internal Medicine | Merit Health Medical Group-pulmonology, 200 W Hospital Drive, Hattiesburg, MS 39402 | 2008-06-04 |
| 1225209257 | Claudia Karam | Internal Medicine | 1101 S 28th Ave, Hattiesburg, MS 39402-2610 | 2008-03-18 |
| 1053512087 | Forrest General Hospital | Internal Medicine | 6051 Us Highway 49, Hattiesburg, MS 39404-6389 | 2007-05-29 |
| 1336350206 | Derrick Quinton Edwards | Internal Medicine | 4 Willow Pt Ste 50, Hattiesburg, MS 39402-1150 | 2007-05-24 |
| 1477676831 | Michelle Lai | Internal Medicine | 6855 Lincoln Road Ext, Ste 50, Hattiesburg, MS 39402-3271 | 2007-04-09 |
| 1275664732 | Rebecca Walters Lauderdale | Internal Medicine | 1101 S 28th Ave Ste D, Hattiesburg, MS 39402-2610 | 2007-03-08 |
| 1922147065 | Dorothy Gillespie | Internal Medicine | 307 Katie Avenue, Hattiesburg, MS 39401-4336 | 2007-02-05 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.