BRUCE A. MARTIN, M.D., L.L.C. (NPI# 1285896803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285896803 |
| Entity Type | Organization |
| Organization Name | BRUCE A. MARTIN, M.D., L.L.C. |
| Practice Address |
630 Lexington Ave Mansfield OH 44907-1500 |
| Practice Telephone | 4196314635 |
| Practice Fax Number | 4197563944 |
| Mailing Telephone | 4196314635 |
| Mailing Fax Number | 4197563944 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. BRUCE A. MARTIN (PRESIDENT) |
| Authorized Official Telephone | 4196314635 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35-053817 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
630 LEXINGTON AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124036470 | Michael Robert Leech | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-08-03 |
| 1265042774 | Jessica Gooden | Physical Therapist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2020-08-10 |
| 1760003891 | Dynamic Dental Specialists, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2020-04-29 |
| 1114484359 | Ryan M Rundle | Physical Therapist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2019-02-25 |
| 1306340567 | Oakwood Oral and Maxillofacial Surgery, Christopher N. Beale, Dds, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2018-03-22 |
| 1306077656 | Timothy Scott Bartholomew | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2009-08-05 |
| 1164652822 | Mid Ohio Infectious Diseases Clinic LLC | Clinic/Center | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2009-07-16 |
| 1841382728 | Edwin Lee Farrar | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| 1730271529 | Gary Ernest Owens | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| 1780776575 | Edwin L Farrar, Dds Inc | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| 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 |
|---|---|---|---|---|
| 1639606353 | Maria Lorena Martinez Rojas | Internal Medicine | 770 Balgreen Dr Fl 1, Mansfield, OH 44906-4106 | 2017-05-11 |
| 1659736957 | Vital Healthcare Solutions | Internal Medicine | 76 Cherry Ridge Dr, Mansfield, PA 16933-8446 | 2015-12-31 |
| 1366857963 | Jiaul Ahsan Pllc | Internal Medicine | 99 Regency Pkwy Ste 305, Mansfield, TX 76063-7820 | 2014-06-23 |
| 1710329040 | Questcare Medical Clinics Pllc | Internal Medicine | 1001 Matlock Rd Ste 101, Mansfield, TX 76063-3443 | 2013-07-29 |
| 1285992602 | Masud Habibullah | Internal Medicine | 17 Evans Cir, Mansfield, MA 02048-1514 | 2012-04-24 |
| 1063730505 | Jaremy Emer James | Internal Medicine | 252 Matlock Road, Suite 130, Mansfield, TX 76063 | 2010-05-07 |
| 1548419120 | Keith D Rigsby, Md, Pa | Internal Medicine | 4105 Greenwood Way, Mansfield, TX 76063-5563 | 2008-09-18 |
| 1164690111 | Denise Kay Bruckerhoff | Internal Medicine | 1788 Highway 157 N Ste 103, Mansfield, TX 76063-3929 | 2008-02-12 |
| 1609053412 | Newlands Inpatient Services | Internal Medicine | 2700 East Broad St., Mansfield, TX 76063 | 2008-01-23 |
| 1669676136 | Sneha Patel | Internal Medicine | 2800 E Broad St Ste 318, Mansfield, TX 76063-6413 | 2007-06-11 |
| Find all providers in MANSFIELD | ||||
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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.