CHARLES D MARTIN JR. (NPI# 1336234137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336234137 |
| Entity Type | Individual |
| Full Name | CHARLES D MARTIN JR. |
| Credential | DC |
| Practice Address |
2568 S Ridgewood Ave Ste 5 Edgewater FL 32141-5980 |
| Practice Telephone | 3864278403 |
| Mailing Telephone | 3864278403 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH3303 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 88572 | 01 |
| FL | MEDICARE GROUP ID | AD239 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649640053 | Charles Brent Martin | Behavioral Analyst | 203 Forest Park Cir, Suite E, Panama City, FL 32405-4916 | 2015-09-28 |
| 1376966689 | Charles Martin | Registered Nurse | 8400 Lee Highway, Pulaski, VA 24301 | 2014-01-23 |
| 1962848200 | Charles Dee Martin | Student in an Organized Health Care Education/Training Program | Family Medicine Residency Nh Pensacola, 6000 W. Hwy 98, Pensacola, FL 32512-0001 | 2013-05-14 |
| 1073866117 | Charles Steven Martin II | Recreation Therapist | 200 Pineridge Ln, Charlottesville, VA 22911-9124 | 2012-10-25 |
| 1457674368 | Charles Harold Martin | Social Worker | 4739 Hwy 10, Jackson, LA 70748 | 2010-03-05 |
| 1972719656 | Charles W Martin | Dentist | 11201 W Huguenot Rd, Richmond, VA 23235-3334 | 2007-05-16 |
| 1073647616 | Charles Matthew Martin | Pharmacist | 4014 Dutchmans Ln, Louisville, KY 40207-4715 | 2007-03-15 |
| 1922198167 | Charles Martin | Dentist | 2842 Boyer St, Charlotte, NC 28208-0702 | 2006-10-16 |
| 1487755567 | Charles Richardson Martin | Pediatrics | 2 Dewitt St, Jacksonville, NC 28540-5649 | 2006-09-25 |
| 1801805866 | Charles Jonathan Martin | Chiropractor | 142 Carmelito Ave, Monterey, CA 93940-4521 | 2006-08-07 |
| Street Address |
2568 S RIDGEWOOD AVE STE 5 |
| City | EDGEWATER |
| State | FL |
| Zip Code | 32141-5980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750352431 | Leslie Manuel Lee | Internal Medicine | 2568 S Ridgewood Ave, Suite 5, Edgewater, FL 32141-5980 | 2006-01-30 |
| 1598299380 | Orest M Krajnyk Md Pa | Ophthalmology | 2568 S Ridgewood Ave, Suite 4, Edgewater, FL 32141-5980 | 2017-04-18 |
| 1609317858 | Volusia Eye Associates, LLC | Eyewear Supplier (Equipment, not the service) | 2568 S Ridgewood Ave, Suite 4, Edgewater, FL 32141-5980 | 2017-03-20 |
| 1568624898 | Orest Michael Krajnyk | Ophthalmology | 2568 S Ridgewood Ave, Edgewater, FL 32141-5980 | 2008-06-27 |
| 1124224795 | Professional Lymphedema Services Inc | Physical Therapist | 2568 S Ridgewood Ave, Suite 3, Edgewater, FL 32141-5980 | 2007-06-21 |
| 1902921737 | Michael J Kutryb Md Pa | Ophthalmology | 2568 S Ridgewood Ave, Suite 4, Edgewater, FL 32141-5980 | 2007-03-20 |
| 1487749297 | Charles D Martin Jr Dc Pa | Chiropractor | 2568 S Ridgewood Ave, Ste 5, Edgewater, FL 32141-5980 | 2006-10-04 |
| 1659484921 | Kristen Ann Hanak | Physical Therapist | 2568 S Ridgewood Ave, Edgewater, FL 32141-5980 | 2006-08-17 |
| 1700892577 | Philp M Tremblay | Physical Therapist | 2568 S Ridgewood Ave, Suite 1, Edgewater, FL 32141-5980 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538648613 | Volusia Center for Surgical Excellence | Clinic/Center | 2568 S Ridgewood Ave Ste 4, Edgewater, FL 32141 | 2018-08-09 |
| 1174000277 | Kathryn Nicole Turner | Speech-Language Pathologist | 2425 Needle Palm Dr, Edgewater, FL 32141 | 2018-07-23 |
| 1710472451 | Caring Rx, LLC | Pharmacy | 21002 S Ridgewood Ave, Suite 2, Edgewater, FL 32141 | 2018-06-26 |
| 1356554240 | Rebecca Lynn Cicchetti | Physical Therapist | 2568 S Ridgewood, Suite 1, Edgewater, FL 32141 | 2007-05-07 |
| 1972675825 | James J Byrne | General Practice | 185 North Route 1, Oak Hill, FL 32141 | 2006-11-15 |
| 1093294662 | Evan Michael Criscio | Optometrist | 2568 S Ridgewood Ave Ste 4, Edgewater, FL 32141 | 2018-08-14 |
| 1871514240 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2006-07-21 |
| 1134519309 | Michelle Salkey | Pharmacist | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2015-01-27 |
| 1912266560 | Joshua Budvarson | Contractor | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2012-05-15 |
| 1063052520 | Meghan Budvarson | Social Worker | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2020-01-13 |
| Find all providers in zip 32141 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224537 | Melissa Cabral-barsottelli | Chiropractor | 115 W Knapp Ave, Edgewater, FL 32132-1503 | 2019-09-12 |
| 1699105791 | Todd Williams | Chiropractor | 2045 Sheridan Blvd Unit G, Edgewater, CO 80214-1305 | 2013-11-26 |
| 1821421363 | Edgewater Chiropractic Clinic, P.a. | Chiropractor | 201 S Ridgewood Ave Ste 11, Edgewater, FL 32132-1935 | 2013-08-20 |
| 1780933143 | Derek Carroll Curran | Chiropractor | 137 Mitchells Chance Rd Ste 100, Edgewater, MD 21037 | 2012-08-31 |
| 1285919456 | Timothy Martin Steflik | Chiropractor | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 | 2011-10-19 |
| 1396023313 | Christian Patrick Grause | Chiropractor | 103 E Connecticut Ave, Edgewater, FL 32132-2360 | 2011-07-25 |
| 1023312204 | Hongsoon Lim | Chiropractor | 1506 Hudson Park, Edgewater, NJ 07020-1572 | 2011-01-03 |
| 1316172877 | First Step Solutions Inc | Chiropractor | 935 River Rd Ste 100, Edgewater, NJ 07020-2233 | 2009-05-27 |
| 1639317456 | Essence of Life Wellness Center, LLC | Chiropractor | 89 Stewart Dr, Edgewater, MD 21037-1645 | 2009-02-02 |
| 1770758583 | Seiichiro Ando | Chiropractor | 725 River Rd Ste 101, Edgewater, NJ 07020-1149 | 2008-04-23 |
| Find all providers in EDGEWATER | ||||
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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.