MARTINA A GREEN-MCGOWAN (NPI# 1295739639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295739639 |
| Entity Type | Individual |
| Full Name | MARTINA A GREEN-MCGOWAN |
| Other Name | MARTINA G MCGOWAN |
| Credential | M.D. |
| Practice Address |
236 Simpson Ave Elkhart IN 46516 |
| Mailing Address |
236 Simpson Ave Elkhart IN 46516-4666 |
| Practice Telephone | 5742930052 |
| Practice Fax Number | 5742933744 |
| Mailing Telephone | 5742930052 |
| Mailing Fax Number | 5742933744 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01041734 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100357660 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1122 Professional Dr, Goshen, IN 465263819 | 5745330560 | 5745331716 |
| 236 Simpson Ave, Elkhart, IN 46516 | 5742930052 | 5742933744 |
| Street Address |
236 SIMPSON AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023640117 | Cecilia Mumbi Maina | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2020-02-07 |
| 1356900773 | Sheila Marie Clark | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2019-06-10 |
| 1902371172 | Trisha Loray Thrash | Dental Hygienist | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2018-10-03 |
| 1033633656 | Lorraine Doris Swartzentruber | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-07-26 |
| 1437698271 | Angelina Theresa Panford | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-02-13 |
| 1508304304 | Andrea Lynn Miller | Registered Nurse | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-02-01 |
| 1083156012 | Cari Balmer | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2016-11-08 |
| 1578935235 | Dawn Boughton | Counselor | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2015-10-21 |
| 1225441751 | Terry Poindexter | Counselor | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2014-06-02 |
| 1447517172 | Meenakshi Gupta | Pediatrics | 236 Simpson Ave, Elkhart, IN 46516 | 2012-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1194707117 | Enrique Eduardo Infante | Obstetrics & Gynecology | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 | 2005-11-16 |
| 1023004504 | Nizar Olabi | Obstetrics & Gynecology | 1215 Lawn Ave Ste 100, Elkhart, IN 46514 | 2005-09-21 |
| 1750601175 | Darren Robert Dolly | Obstetrics & Gynecology | 1215 Lawn Ave Ste 100, Elkhart, IN 46514-2450 | 2010-06-08 |
| 1972713386 | Aisha Siddiqui | Obstetrics & Gynecology | 1215 Lawn Ave Ste 100, Elkhart, IN 46514-2450 | 2007-05-23 |
| 1316073372 | Beacon Medical Group, Inc. | Obstetrics & Gynecology | 1215 Lawn Ave Ste 100, Elkhart, IN 46514-2450 | 2007-02-26 |
| 1265512289 | River Oaks Ob/gyn Associates, P.C. | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-10-16 |
| 1306935002 | Jeffrey L. Cain | Obstetrics & Gynecology | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2006-10-12 |
| 1821009259 | Julie B Motycka | Obstetrics & Gynecology | 1215 Lawn Ave Ste 100, Elkhart, IN 46514-2450 | 2006-08-10 |
| 1689623159 | Booker Talforia Morris | Obstetrics & Gynecology | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 | 2006-05-10 |
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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.