MARTHA BIRD


Address: Building 52, Lake Drive, Mountain Home, TN 37684
Phone: 4234398000

MARTHA BIRD (NPI# 1417138512) 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) 1417138512
Entity Type Individual
Full Name MARTHA BIRD
Credential M.D.
Practice Address Building 52, Lake Drive
Mountain Home
TN 37684
Mailing Address Po Box 699
Mountain Home
TN 37684-0699
Practice Telephone 4234398000
Practice Fax Number 4234392200
Mailing Telephone 4234398000
Mailing Fax Number 4234392200
Enumeration Date 2007-11-16
Last Update Date 2018-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
45132 TN Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
45132 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN GROUP TN MEDICARE NUMBER 3714470 01

Other Providers MARTHA BIRD

NPI Name Taxonomy Address Enumeration
1184657744 Martha Bird Family Medicine 1101 Medical Arts Ave Ne, Building 4, Suite A, Albuquerque, NM 87102-2706 2006-07-08

Office Location

Street Address BUILDING 52, LAKE DRIVE
City MOUNTAIN HOME
State TN
Zip Code 37684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992098396 Dan Adrian Nicolau Psychiatry & Neurology Building 52, Lake Drive, Va Medical Center, Mountain Home, TN 37684-0699 2011-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235730524 Kendra Lee Thorne Psychologist Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 2020-11-04
1255930160 Maximillian Scott Crockett Optometrist James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 2020-10-21
1699393256 Joshua Thomas Spencer Pharmacist Veterans Way and Lamont St, Mountain Home, TN 37684 2020-07-10
1073140265 James Hankil Kim Student in an Organized Health Care Education/Training Program Building 52/lake Drive, Mountain Home, TN 37684 2020-03-26
1932736030 Trishna Sharma Student in an Organized Health Care Education/Training Program Building 52/lake Drive Mountain Home, Johnson City, TN 37684 2020-03-26
1508421884 Sarvatit Patel Student in an Organized Health Care Education/Training Program 52 Lake Dr, Mountain Home, TN 37684 2019-05-02
1902366024 Katelyn Cserjes Student in an Organized Health Care Education/Training Program Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 2019-03-24
1114404282 Anesa Ellen Hughes Pharmacist Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 2018-07-23
1508352287 Leon Nguyen Optometrist James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 2018-07-06
1649761750 Bahaaeldin Ibrahim Mahmoud Youssef Student in an Organized Health Care Education/Training Program Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 2018-05-24
Find all providers in zip 37684

Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942561816 Stephanie Sapna Shah Psychiatry & Neurology Building 52 Lake Drive, Mountain Home, TN 37684-0699 2012-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457959017 Periscope Community Health Services Psychiatry & Neurology 167 Belle Forest Cir, Nashville, TN 37221-2103 2020-10-15
1902117815 The Family Wellness Center, LLC Psychiatry & Neurology 7503 Queens Ct, Suite 1, Germantown, TN 38138-3875 2010-06-24
1295053767 Annie Naik Gadiparthi Psychiatry & Neurology 848 Adams Avenue L400, Memphis, TN 38103-8503 2010-05-09
1063739415 Wellsprings Psychiatry and Counseling Center, Pllc Psychiatry & Neurology 109 Holiday Ct Ste D10, Franklin, TN 37067-1311 2010-04-26
1619154440 17th Avenue Psychiatry Psychiatry & Neurology 1503 17th Ave S, Nashville, TN 37212-2805 2008-01-23
1093913576 Michael Greer Md PC Psychiatry & Neurology 183 Fiddlers Ln, Kingston, TN 37763-4020 2007-07-06
1669579116 Jonathan David Shaw Psychiatry & Neurology 2911 Brunswick Road, Memphis, TN 38133 2006-09-19
1609971134 Richard A Colletti Psychiatry & Neurology 109 Holiday Ct., D10, Franklin, TN 37067 2006-09-13
1407963515 Constance L Durbin Psychiatry & Neurology 1135 Cully Rd, Ste 100, Cordova, TN 38016 2006-08-24
1558380089 Daniel Barton Psychiatry & Neurology 4535 Harding Pike, Suite # 102, Nashville, TN 37205-2120 2006-07-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City MOUNTAIN HOME
Zip Code 37684

Improve Information

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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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