DR. ZACK ZEKE MARTIN


Address: 721 Wellness Way, Ste 100, Lawrenceville, GA 30046
Phone: 7709957989

DR. ZACK ZEKE MARTIN (NPI# 1427042514) 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) 1427042514
Entity Type Individual
Full Name DR. ZACK ZEKE MARTIN
Credential M.D.
Practice Address 721 Wellness Way
Ste 100
Lawrenceville
GA 30046
Mailing Address 721 Wellness Way
Ste 100
Lawrenceville
GA 30046-3304
Practice Telephone 7709957989
Practice Fax Number 7703398646
Mailing Telephone 7709957989
Mailing Fax Number 7703398646
Enumeration Date 2005-09-06
Last Update Date 2013-01-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
029348 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA ONE HEALTH 0793 01
GA UNITED HEALTHCARE 29-07010 01
GA 00340205A 05
GA PROMINA 0793 01
GA CIGNA PPO 1591576 01
GA PRUDENTIAL 582061514002 01
GA RAIL ROAD MEDICARE 100011951 01
GA MANAGE CARE 4083744 01
GA BLUE CROSS BLUE SHIELD 52237427 01

Office Location

Street Address 721 WELLNESS WAY
STE 100
City LAWRENCEVILLE
State GA
Zip Code 30046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629231048 Mehul Parikh Internal Medicine 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 2008-07-07
1679755029 Internal Medicine Specialists Internal Medicine 721 Wellness Way, Suite 100, Lawrenceville, GA 30045-3304 2007-11-28
1700901311 Gastroenterology Specialists of Gwinnett, P.C. Specialist 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 2007-03-20
1477581999 Jae Wook Nam Internal Medicine 721 Wellness Way, Suite100, Lawrenceville, GA 30046-3304 2006-06-30
1023053329 Spencer I Rozin Internal Medicine 721 Wellness Way, Suite 220, Lawrenceville, GA 30046-3304 2006-06-19
1154371706 Mark G. Haywood, Md, LLC Ophthalmology 721 Wellness Way, Ste 210, Lawrenceville, GA 30045-3304 2006-05-12
1720046089 David N Armstrong Colon & Rectal Surgery 721 Wellness Way, Ste 200, Lawrenceville, GA 30046-3304 2006-05-03
1578531208 Northeast Endoscopy Center, LLC Clinic/Center 721 Wellness Way, Ste 110, Lawrenceville, GA 30046-3304 2006-03-09
1114911294 William Gordon Tanner Jr. Internal Medicine 721 Wellness Way, Ste 100, Lawrenceville, GA 30046-3304 2005-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
Find all providers in zip 30046

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699872218 Michael Gersten Internal Medicine 3 Vanderveer Dr, Lawrenceville, NJ 08648-3113 2006-09-17
1952350332 Tanya M. Rutledge Internal Medicine 763 Old Norcross Rd, Lawrenceville, GA 30046-4317 2006-05-10
1285624148 Srinivasa Rao Ayinala Internal Medicine 301 Philip Blvd Ste A, Lawrenceville, GA 30046 2005-10-24
1205245982 James B Canavan Internal Medicine 3401 Princeton Pike, Lawrenceville, NJ 08648-1205 2014-08-07
1972755650 North Georgia Digestive Disease Consultants, LLC Internal Medicine 475 Philip Blvd, 304, Lawrenceville, GA 30046-8737 2008-10-14
1629231048 Mehul Parikh Internal Medicine 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 2008-07-07
1033370762 Bennett H. Bruckner,m.d., P.C. Internal Medicine 575 Professional Dr, Suite 290, Lawrenceville, GA 30045-3333 2008-06-25
1437319993 Donald Minh Pham Internal Medicine 301 Philip Blvd Ste A, Lawrenceville, GA 30046 2008-06-09
1609033315 Susan G Coe Internal Medicine 301 Philip Blvd Ste A, Lawrenceville, GA 30046 2008-05-20
1720116494 Jyotsna Talapaneni Internal Medicine 301 Philip Blvd, Suite A, Lawrenceville, GA 30046-8745 2007-03-02
Find all providers in LAWRENCEVILLE

Competitor

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City LAWRENCEVILLE
Zip Code 30046

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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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