DR. THOMAS LYLE MARTIN (NPI# 1417908922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417908922 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LYLE MARTIN |
| Credential | DO |
| Practice Address |
1378 Nw 124th St Suite 200 Clive IA 50325-8151 |
| Practice Telephone | 5152886097 |
| Practice Fax Number | 5152886099 |
| Mailing Telephone | 5152886097 |
| Mailing Fax Number | 5152886099 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
3703 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387358 | Thomas R. Martin | Counselor | 58 E Route 59 Ste 2, Nanuet, NY 10954-2959 | 2018-12-16 |
| 1346699477 | Thomas Martin | Dentist | 921 Arrowwood Dr, Carmel, IN 46033-9044 | 2016-06-09 |
| 1073804084 | Thomas Eugene Martin | Military Health Care Provider | 36329 Saint Raphael Dr, Murrieta, CA 92562-8846 | 2011-04-25 |
| 1710217831 | Thomas G Martin | Pharmacist | 1517 N Wilmot Rd # 151, Tucson, AZ 85712-4410 | 2010-01-12 |
| 1457588543 | Thomas James Martin | General Practice | 56 Rice St., Pawwtucket, RI 02861-1530 | 2009-06-16 |
| 1588820799 | Thomas Anthony Martin | Dentist | 135 Meadow Ln, Tonawanda, NY 14223-1365 | 2008-08-07 |
| 1184899254 | Thomas Ellsworth Martin Jr. | Chiropractor | 1020 N Providence Rd, Media, PA 19063-2101 | 2008-04-29 |
| 1356520647 | Thomas Charles Martin | Pediatrics | 417 State St Ste 305, Bangor, ME 04401-6654 | 2007-11-02 |
| 1770634198 | Thomas O. Martin | Psychologist | 5621 Savina Ave, Dayton, OH 45415-1155 | 2007-01-13 |
| 1760580575 | Thomas Alan Martin | Pharmacist | 111 Benjamin Ct, Shelby, NC 28152-8181 | 2006-09-20 |
| Street Address |
1378 NW 124TH ST SUITE 200 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699745760 | Rajalakshmi V Iyer | Internal Medicine | 1378 Nw 124th St, Clive, IA 50325-8151 | 2006-01-23 |
| 1346545233 | Lori L Mathis | Nurse Practitioner | 1378 Nw 124th St, Clive, IA 50325-8151 | 2011-01-24 |
| 1336352772 | Tercio Lopes | Internal Medicine | 1378 Nw 124th St, Clive, IA 50325-8151 | 2007-05-08 |
| 1609968478 | Iowa Endoscopy Center, Inc. | Clinic/Center | 1378 Nw 124th St, Suite 100, Clive, IA 50325-8151 | 2006-09-29 |
| 1194817247 | Maria Joan Steele | Nurse Practitioner | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-09-28 |
| 1295793420 | Michael D Obrien | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-04 |
| 1912965146 | Stacey S Roberts | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-04 |
| 1992763122 | Ravi Prasad Sai Vemulapalli | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-04 |
| 1821046087 | Archana Verma | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-04 |
| 1649238643 | Nagendra V Myneni | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275571747 | Iowa Digestive Disease Center P.C. | Internal Medicine | 1378 Nw 124th Street, Suite 200, Clive, IA 50325 | 2006-06-04 |
| 1497757009 | Allen R Kaufman | Internal Medicine | 1370 Nw 114th St, Suite 203, Clive, IA 50325-7030 | 2005-08-12 |
| 1093715690 | Essam Y. Tellawi | Internal Medicine | 1601 Nw 114th St Ste 342, Clive, IA 50325-7036 | 2005-07-26 |
| 1528388998 | Mercy Clinics, Inc | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7036 | 2010-06-08 |
| 1588829188 | Vinaya Vittal Gaduputi | Internal Medicine | 1601 Nw 114th St Ste 342, Clive, IA 50325-7036 | 2008-07-23 |
| 1336352772 | Tercio Lopes | Internal Medicine | 1378 Nw 124th St, Clive, IA 50325-8151 | 2007-05-08 |
| 1689629537 | Allen R. Kaufman, Md | Internal Medicine | 1370 Nw 114th St, Suite 203, Clive, IA 50325-7030 | 2006-05-22 |
| 1295793420 | Michael D Obrien | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-04 |
| 1912965146 | Stacey S Roberts | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-04 |
| 1992763122 | Ravi Prasad Sai Vemulapalli | Internal Medicine | 1378 Nw 124th St, Suite 200, Clive, IA 50325-8151 | 2006-05-04 |
| Find all providers in CLIVE | ||||
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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.