DR. TREVER J. MARTIN (NPI# 1316236797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316236797 |
| Entity Type | Individual |
| Full Name | DR. TREVER J. MARTIN |
| Credential | D.P.M. |
| Practice Address |
1024 E Locust St Emmett ID 83617 |
| Mailing Address |
1202 E Locust St Emmett ID 83617-2715 |
| Practice Telephone | 2083652338 |
| Practice Fax Number | 2083650677 |
| Mailing Telephone | 2083652338 |
| Mailing Fax Number | 2083650677 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P-227 | ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE PTAN | 20005139 | 01 |
| ID | TAX ID | 820382500 | 01 |
| ID | NPI | 1316236797 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 203 12th Ave Rd, Nampa, ID 836865012 | 2084663338 | 2084663554 |
| Street Address |
1024 E LOCUST ST |
| City | EMMETT |
| State | ID |
| Zip Code | 83617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007004 | Gem Home Health | Home Health | 1024 E Locust St, Emmett, ID 83617-2776 | 2005-07-20 |
| 1821334657 | Surgical Specialties Clinic | Surgery | 1024 E Locust St, Emmett, ID 83617-2776 | 2012-12-26 |
| 1447412929 | Zachary N Bastian | Surgery | 1024 E Locust St, Emmett, ID 83617-2776 | 2008-06-26 |
| 1326206947 | Walter Knox Memorial Hospital | Internal Medicine | 1024 E Locust St, Emmett, ID 83617-2776 | 2008-05-30 |
| 1679595631 | Paula Rebecca Mendiola | Surgery | 1024 E Locust St, Emmett, ID 83617-2776 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
| 1407984966 | Jill Janay Sprague | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
| 1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
| 1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| Find all providers in zip 83617 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1396023446 | Kurt Earl Kinghorn | Podiatrist | 1828 S Millenium Way Ste 200, Meridian, ID 83642-5036 | 2011-07-22 |
| 1649506536 | James Rex Cutler | Podiatrist | 76 E 1st S, Rexburg, ID 83440-1936 | 2009-10-27 |
| 1174756316 | Daniel Matthew Wettstein | Podiatrist | 476 Cheney Drive West, Twin Falls, ID 83301 | 2009-09-03 |
| 1578576732 | Bruce G Tolman | Podiatrist | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-08-15 |
| 1679514186 | Ryan Averett Dpm PC | Podiatrist | 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2006-06-08 |
| 1245216647 | Kert W Howard | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2005-12-16 |
| 1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
| 1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
| 1326042045 | Michael J Drager | Podiatrist | 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 | 2005-06-09 |
| Find all providers with the same taxonomy | ||||
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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.