PETER MITCHELL MARTIN (NPI# 1386133668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386133668 |
| Entity Type | Individual |
| Full Name | PETER MITCHELL MARTIN |
| Credential | DO |
| Practice Address |
Offutt Afb Family Medicine Residency 2501 Capehart Rd. Offutt Afb NE 68113 |
| Mailing Address |
1960 W Keating Ave Apt 115 Mesa AZ 85202-7003 |
| Practice Telephone | 4022322273 |
| Mailing Telephone | 5098637528 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2107 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516489 | Peter Martin | Counselor | 8675 Midland Pkwy Ste 1, Jamaica, NY 11432-3049 | 2020-04-05 |
| 1851743330 | Peter Martin | Marriage & Family Therapist | 2170 S El Camino Real # 217, Oceanside, CA 92054-6203 | 2016-07-07 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1194857532 | Peter J Martin | Physician Assistant | N. 115 Crosby, Tekoa, WA 99033-0629 | 2007-03-12 |
| 1235298175 | Peter Reed Martin | Acupuncturist | 1130 Sw Morrison St Ste 430, Portland, OR 97205-2215 | 2006-12-06 |
| 1073171716 | Peter Martin | Physical Therapist | 3270 Liberty Rd. S., Salem, OR 97302 | 2019-05-29 |
| 1215409289 | Peter J.d. Martin | Case Manager/Care Coordinator | 805 E Robinson St, Norman, OK 73071-6610 | 2019-01-01 |
| 1104357490 | Peter Martin | Student in an Organized Health Care Education/Training Program | 715 Park Ave, South Bend, IN 46616-1337 | 2017-03-27 |
| 1730444282 | Peter Andrew Martin | Internal Medicine | 19333 W North Ave, Brookfield, WI 53045-4132 | 2012-07-11 |
| 1861635120 | Peter Scott Martin | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2009-04-15 |
| Street Address |
OFFUTT AFB FAMILY MEDICINE RESIDENCY 2501 CAPEHART RD. |
| City | OFFUTT AFB |
| State | NE |
| Zip Code | 68113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619212792 | Tyrone Antonio Simon | Social Worker | 2501 Capehart Rd Bldg 4000, Offutt Afb, NE 68113 | 2012-11-30 |
| 1245536994 | Aaron Bradley Smith | Military Health Care Provider | Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-01-28 |
| 1962719294 | Amy Elaine Klein | Optometrist | 106 Meyer Ave, Bldg 166, Offutt Afb, NE 68113 | 2010-09-08 |
| 1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
| 1548343296 | Jack David Wright | Pharmacist | 2501 Capehart, Erhling Bergquist Hospital, Offutt Afb, NE 68113 | 2006-10-23 |
| 1215023890 | Mark James Angerbauer | Dentist | 2501 Capehart Rd., Omaha, NE 68113 | 2006-10-04 |
| 1003915430 | 55th Medical Group Sgsl | Pharmacy | Bldg 107 Rm 101, Offutt, NE 68113 | 2006-09-22 |
| 1407804800 | Valerie June Malloy | Family Medicine | Offutt Afb, Erhling Berquist Clinic, Belluvue, NE 68113 | 2006-05-05 |
| 1174016661 | Logan Wheeler | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113 | 2018-06-11 |
| 1457766909 | Robyn Thiede | Nurse Practitioner | 2501 Capehart Road, Family Medicine Residency Clinic, Ehrling Bergquist, Offutt Afb, NE 68113 | 2014-06-24 |
| Find all providers in zip 68113 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932558327 | Anne Marie Kennedy | Family Medicine | 2501 Capehart Rd Ste 1k47, Offutt Afb, NE 68113-1045 | 2016-06-07 |
| 1841645298 | Ashley Dianne Brown | Family Medicine | 2501 Capehart Rd # Fmr, Offutt Afb, NE 68113-1043 | 2016-05-03 |
| 1841453974 | Stephen Lynn Halla | Family Medicine | 55th Mdg/sghc Attn: Credentials, 2501 Capehart Road, Offutt Afb, NE 68113-2160 | 2008-07-09 |
| 1134649684 | Andrew Patrick Roche IIi | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2017-06-26 |
| 1790215747 | Anna Theresa Wiley | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2017-06-13 |
| 1689103384 | James Watson | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2017-06-06 |
| 1033567425 | Lucas Abinadi Bohannan | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2016-05-26 |
| 1023490901 | Haleigh Jo White | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2015-06-26 |
| 1669812376 | Sara M Despain | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2013-06-26 |
| 1245678457 | Rebecca L Peebles | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-2160 | 2013-06-10 |
| Find all providers in OFFUTT AFB | ||||
| City | OFFUTT AFB |
| Zip Code | 68113 |
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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.