SALLY MARTIN (NPI# 1386705762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386705762 |
Entity Type | Individual |
Full Name | SALLY MARTIN |
Credential | M.D. |
Practice Address |
23320 N State Road 235 Brooker FL 32622-5266 |
Mailing Address |
8602 Sw 42nd Pl Gainesville FL 32608-4146 |
Practice Telephone | 3524851133 |
Practice Fax Number | 3524852927 |
Mailing Telephone | 3524851133 |
Mailing Fax Number | 3524852927 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | ME 0064344 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE ID # | ME 0064344 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043445315 | Sally C Martin | Social Worker | 5231 Hickory Park Dr Ste C, Glen Allen, VA 23059-2619 | 2009-05-15 |
1548743206 | Sally Martin | Counselor | 8788 Elk Grove Blvd Ste L, Elk Grove, CA 95624-1768 | 2018-09-10 |
1396001335 | Sally B. Martin | Speech-Language Pathologist | 7143 Shreve Rd, Achieve Beyond, Falls Church, VA 22043 | 2012-04-04 |
1710254727 | Sally Martin | Community Health Worker | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2011-11-18 |
1497996326 | Sally Ann Martin | Registered Nurse | 813 Fay Rd, Syracuse, NY 13219-3009 | 2009-03-24 |
1992988067 | Sally A Martin | Speech-Language Pathologist | 2200 N Poplar St, Department of Special Services, North Little Rock, AR 72114-2322 | 2007-12-12 |
Street Address |
23320 N STATE ROAD 235 |
City | BROOKER |
State | FL |
Zip Code | 32622-5266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417987967 | William M Witt | Dentist | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-07-03 |
1033439823 | Paayal Bhakta | Dentist | 23320 N State Road 235, Brooker, FL 32622-5266 | 2010-06-03 |
1992944599 | Edward L. Herod | Dentist | 23320 N State Road 235, Brooker, FL 32622-5266 | 2009-02-05 |
1275651093 | Robert Thoburn | Internal Medicine | 23320 N State Road 235, Brooker, FL 32622-5266 | 2007-03-27 |
1487772216 | Alachua County Organization for Rural Needs, Inc. | General Practice | 23320 N State Road 235, Brooker, FL 32622-5266 | 2007-03-27 |
1356426654 | Dale Ryon | Internal Medicine | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-26 |
1447335831 | Lisa Molitor | Nurse Practitioner | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-26 |
1760567077 | Susan Bliss | Nurse Practitioner | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-26 |
1477635514 | Karolyn Godbey | Nurse Practitioner | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245863844 | Lacey Ashton Coleman | Nurse Practitioner | 11477 Sw Sr 231, Brooker, FL 32622 | 2020-02-21 |
1609850072 | Abigail Elizabeth Palmer | Physician Assistant | 23320 North State Road 235, Acorn Clinic, Brooker, FL 32622 | 2005-11-30 |
1255643565 | Lawrence Walter Dupee | Mechanotherapist | 16526 Sw 137th Ave, Brooker, FL 32622-2357 | 2010-07-02 |
1326387473 | Marc T Frazer | Occupational Therapist | 14627 Sw 155th Ave, Brooker, FL 32622-2864 | 2013-02-10 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
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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.