RICHARD MARTIN (NPI# 1356651426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0004286 | MD | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
2209 DEFENSE HWY SUITE C |
City | CROFTON |
State | MD |
Zip Code | 21114-2403 |
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 |
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 |
Find all providers in zip 21114 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
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 |
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.