RICHARD MARTIN


Address: 2209 Defense Hwy, Suite C, Crofton, MD 21114-2403
Phone: 4433324260

RICHARD MARTIN (NPI# 1356651426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356651426
Entity Type Individual
Full Name RICHARD MARTIN
Credential PA-C
Practice Address 2209 Defense Hwy
Suite C
Crofton
MD 21114-2403
Mailing Address 105 Short St
Gaithersburg
MD 20878-3221
Practice Telephone 4433324260
Practice Fax Number 4433324471
Mailing Telephone 2022361072
Enumeration Date 2010-10-07
Last Update Date 2013-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0004286 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers RICHARD MARTIN

NPI Name Taxonomy Address Enumeration
1093170334 Richard Dewayne Martin Pharmacist 165 Nw John Jones Dr, Burleson, TX 76028-5154 2015-12-30
1124412572 Richard Martin Preventive Medicine 603 Crystal Springs Rd, Saint Helena, CA 94574-9668 2015-03-24
1891065116 Richard Louis Martin Registered Nurse 1037 Archer Dr, Medford, OR 97501-4442 2012-01-03
1245522689 Richard Joesph Martin Counselor 127 Weir Point Dr, Manteo, NC 27954-9409 2011-05-04
1720255607 Richard Allen Martin Jr. Emergency Medicine 600 9th Ave, # 206, Seattle, WA 98104-2013 2008-05-10
1619046323 Richard Eugene Martin Internal Medicine 122 N Bailey St, Pryor, OK 74361-4202 2006-11-07
1215023445 Richard James Martin Dentist 1621 Beglis Pkwy, Sulphur, LA 70663-5906 2006-10-05
1003921487 Richard Lee Martin Jr. Optometrist 2399 State Road 46 South, Wal-mart Vision Center, Terre Haute, IN 47803 2006-08-19
1639183858 Richard James Martin Dentist 99 W 23rd St, Holland, MI 49423-4776 2006-07-27
1871521401 Richard A Martin Optometrist 125 Janaf Sc, Norfolk, VA 23502-2501 2006-06-30

Office Location

Street Address 2209 DEFENSE HWY
SUITE C
City CROFTON
State MD
Zip Code 21114-2403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063507036 Christine Fleury Physician Assistant 2209 Defense Hwy, Suite C, Crofton, MD 21114-2403 2006-10-04
1033507488 Rossana Wright Nurse Practitioner 2209 Defense Hwy, Crofton, MD 21114-2403 2015-01-07
1679909501 Jessica L O'brien Nurse Practitioner 2209 Defense Hwy, Crofton, MD 21114-2403 2013-09-24
1003059338 Montia Lorenz Golette-lewis Physician Assistant 2209 Defense Hwy, Suite C, Crofton, MD 21114-2403 2009-04-16
1104090331 Melissa I Taylor Physician Assistant 2209 Defense Hwy, Suite C, Crofton, MD 21114-2403 2008-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942857156 Betty J Wanjau Occupational Therapy Assistant 2131 Davidsoville Rd, Crofton, MD 21114 2019-08-22
1972067494 Brightview Crofton, LLC Alzheimer Center (Dementia Center) 1301 Clarity Drive, Crofton, MD 21114 2019-01-29
1225522147 Jodie Rich Pharmacist Shoppers, 1649 Crofton Center, Crofton, MD 21114 2018-06-15
1447769054 Danielle Ellen Barton Counselor 1627 Ardsley Place, Crofton, MD 21114 2017-09-26
1093250474 Holistic, Re-education, & Empowering Serices, LLC Community/Behavioral Health 2305 Fairhaven Lane, Crofton, MD 21114 2016-12-21
1326594201 Evette Shields Adult Companion 1617 Parkridge Circle #152, Crofton, MD 21114 2016-08-30
1861866832 Kathryn Bucher Occupational Therapist 2435 Bolton Lane, Crofton, MD 21114 2015-11-13
1730512062 James Martin Schwartz Dentist 1286 Route 3 North, Crofton, MD 21114 2013-08-09
1184923088 Jean Louise Dela Torre Speech-Language Pathologist 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 2011-03-18
1295033488 Nancy Fox Royster Registered Nurse 1004 Broderick Court, Crofton, MD 21114 2011-03-11
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1831747971 Miriam Noelle Meiser Physician Assistant 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 2019-09-02
1285296913 Mary Furda Physician Assistant 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 2019-07-02
1902466998 Christina Deleon Physician Assistant 403 Marvel Court, Easton, MD 21601 2019-06-20
1467012369 Molly Uebele Harrigan Physician Assistant 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 2019-06-13
1558834234 Kevin Timothy Johnson Physician Assistant 411 Naylor Mill Rd, Salisbury, MD 21801-1191 2019-01-06
1093287260 Carolina Radzyminska Johnson Physician Assistant 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 2018-12-27
1962971309 Emmy L Estrada Physician Assistant 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 2018-11-14
1982170833 Barbara Argyros Physician Assistant 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 2018-10-18
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Competitor

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City CROFTON
Zip Code 21114

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Dataset Information

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.

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