JONATHAN EDWARD MARTIN (NPI# 1417508003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417508003 |
| Entity Type | Individual |
| Full Name | JONATHAN EDWARD MARTIN |
| Practice Address |
101 S Moore Ave Claremore OK 74017-5091 |
| Practice Telephone | 9183426495 |
| Practice Fax Number | 9183426503 |
| Mailing Telephone | 9183426495 |
| Mailing Fax Number | 9183426503 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
108494 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477193753 | Jonathan Paxman Martin | Chiropractor | 619 S Bluff St Ste 100, St George, UT 84770-1232 | 2020-01-14 |
| 1215310693 | Jonathan Martin | Contractor | 6441 S Chickasaw Trl # 134, Orlando, FL 32829-8366 | 2015-07-03 |
| 1932739778 | Jonathan Michael Martin | Counselor | 300 Century Park S Ste 100, Birmingham, AL 35226-3924 | 2020-01-21 |
| 1295228492 | Jonathan Martin | Student in an Organized Health Care Education/Training Program | 1901 1st Ave, New York, NY 10029-7491 | 2018-06-12 |
| 1568955169 | Jonathan Martin | Pharmacist | 1811 Weir Dr Ste 275, Woodbury, MN 55125-2201 | 2018-06-08 |
| 1063914471 | Jonathan Sanford Martin | Counselor | 1405a S Glenburnie Rd, New Bern, NC 28562-2603 | 2018-03-01 |
| 1174908230 | Jonathan Martin | Psychiatry & Neurology | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2015-07-29 |
| 1669855094 | Jonathan Martin | Pharmacist | 3801 Highway 5 N, Bryant, AR 72022-9028 | 2015-07-02 |
| 1285048520 | Jonathan Paul Martin | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Albert Einstein Medical Center, Philadelphia, PA 19141-3018 | 2014-06-15 |
| 1922443019 | Jonathan Vasilios Saguan Martin | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, #9c/uhc, Detroit, MI 48201-2153 | 2013-05-03 |
| Street Address |
101 S MOORE AVE |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478251 | Jeneva Sue Arnold I | Pharmacist | 101 S Moore Ave, Claremore, OK 74017-5047 | 2005-06-28 |
| 1063021483 | Jenilee Skidmore | Advanced Practice Midwife | 101 S Moore Ave, Claremore, OK 74017-5047 | 2020-07-31 |
| 1598382582 | Ashley Nicole Patterson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2020-06-25 |
| 1588200190 | Andrea K Rake | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1396381901 | Megan Campbell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1750922704 | Laura Anne Blackwood | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-10-01 |
| 1801437868 | Victoria Lynn Sanders | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-10-01 |
| 1720629884 | Timothy Dewayne Cordell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-30 |
| 1700437449 | Micah Taylor | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-24 |
| 1376194373 | Clint Hise | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1598382582 | Ashley Nicole Patterson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2020-06-25 |
| 1588200190 | Andrea K Rake | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1396381901 | Megan Campbell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1720629884 | Timothy Dewayne Cordell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-30 |
| 1376194373 | Clint Hise | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-23 |
| 1154970408 | Jennifer Lynn Barnett | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-10 |
| 1457909814 | Morgan Douthit | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-08-29 |
| 1154885846 | Cassidy N Suits | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-01-26 |
| 1235693235 | Dana Cash | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-01-24 |
| Find all providers in CLAREMORE | ||||
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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.