DR. RICK MARTIN (NPI# 1326073404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326073404 |
| Entity Type | Individual |
| Full Name | DR. RICK MARTIN |
| Credential | M.D. |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6019845373 |
| Practice Fax Number | 6019845476 |
| Mailing Telephone | 6019845373 |
| Mailing Fax Number | 6019845476 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
10629 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | UP MEDICAID GROUP PROV# | 08103071 | 01 |
| MS | 09014712 | 05 | |
| MS | MEDICARE PTAN | 512I160012 | 01 |
| MS | 00015809 | 05 | |
| MS | RR MEDICARE NUMBER | 160039616 | 01 |
| MS | UP MEDICARE GROUP PROV# | 512G700003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255893202 | Rick Edmund Martin | Specialist/Technologist | 12345 Inwood Rd, Dallas, TX 75244-8094 | 2019-04-01 |
| 1851481352 | Rick Martin | Emergency Medicine | 102 E. Lake Mead Drive, Henderson, TN 89015 | 2006-10-13 |
| 1578670667 | Rick Lee Martin | Registered Nurse | Usameddac Wuerzburg Attn: Credentials Office Unit, Unit 26610, Apo, AE AE | 2006-08-24 |
| 1174536585 | Rick Alan Martin | Dentist | 720 Tornado Drive, Storm Lake, IA 50588 | 2006-08-15 |
| 1942287941 | Rick F. Martin | Podiatrist | 720 Aldinger Dr, Dallastown, PA 17313-9232 | 2005-12-30 |
| 1871510313 | Rick A Martin | Medical Genetics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1144281767 | Rick Erwin Martin | Dentist | 7515 W Yale Ave, Denver, CO 80227-3423 | 2006-03-31 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1861894982 | Saint Peter's Specialty Physicians, P.C. | Obstetrics & Gynecology | 2290 W County Line Rd Ste 101, Jackson, NJ 08527-2156 | 2014-09-19 |
| 1780608331 | Mid-south Perinatal Associates PC | Obstetrics & Gynecology | 620 Skyline Dr., Jackson, TN 38301 | 2006-07-27 |
| 1780843995 | Mississippi Maternal-fetal Medicine, P.a. | Obstetrics & Gynecology | 501 Marshall St, Suite 601, Jackson, MS 39202-1651 | 2008-06-03 |
| 1316003114 | Kenneth G.perry Jr., M.d P.a | Obstetrics & Gynecology | 501 Marshall St, Ste 505, Jackson, MS 39202-1651 | 2006-12-28 |
| 1518043512 | Arthur Robert Vendola | Obstetrics & Gynecology | 1100 E Michigan Ave, Suite 202, Jackson, MI 49201-1847 | 2006-10-31 |
| 1699706390 | James Martin | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-05 |
| 1033154935 | James Bofill | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-17 |
| 1184661373 | Robert William Naef IIi | Obstetrics & Gynecology | 501 Marshall St, Suite 601, Jackson, MS 39202-1651 | 2006-05-31 |
| 1093752297 | Kenneth Giles Perry Jr. | Obstetrics & Gynecology | 501 Marshall St, Suite 601, Jackson, MS 39202-1651 | 2006-05-31 |
| 1588649321 | Funminiyi A Taylor | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2005-12-14 |
| Find all providers in JACKSON | ||||
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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.