DR. PAUL TIMOTHY MARTIN (NPI# 1437245107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437245107 |
| Entity Type | Individual |
| Full Name | DR. PAUL TIMOTHY MARTIN |
| Credential | D.C. |
| Practice Address |
9040 Millbranch Rd Southaven MS 38671-1420 |
| Practice Telephone | 6623421107 |
| Practice Fax Number | 6622800178 |
| Mailing Telephone | 6623421107 |
| Mailing Fax Number | 6622800178 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 754 | MS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC/TN | 0123504 | 01 |
| MS | CIGNA | 6443272001 | 01 |
| MS | AETNA | 4350351 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750165 | Paul Douglas Martin | Dentist | 270 Cobb Pkwy S Ste 180, Marietta, GA 30060-6520 | 2017-06-21 |
| 1801019351 | Paul A Martin | Dentist | 277 Church Ave Ste A, Chula Vista, CA 91910-2728 | 2007-04-11 |
| 1548380686 | Paul L. Martin Jr. | Psychologist | 2200 N Ponce De Leon Blvd Ste 3, St Augustine, FL 32084-2650 | 2007-03-30 |
| 1124006275 | Paul B Martin | Internal Medicine | 206 W 79th St, Apt 3r, New York, NY 10024-6235 | 2006-01-08 |
| 1841292018 | Paul A Martin | Family Medicine | 77 E Woodbury Dr, Suite 110, Dayton, OH 45415-2855 | 2005-06-01 |
| 1659843126 | Paul Martin | Social Worker | 2139 Adam Clayton Powell Jr Blvd, New York, NY 10027-3719 | 2018-12-21 |
| 1659843431 | Paul Michael Martin | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2018-12-18 |
| 1639656598 | Paul Andrew Martin | Counselor | 5808 Balcones Dr Ste 201, Austin, TX 78731-4215 | 2018-07-24 |
| 1801393525 | Paul J Martin | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2018-04-09 |
| 1609385004 | Paul Martin | Counselor | 120 N 3rd St, Ironton, OH 45638-1574 | 2017-09-28 |
| Street Address |
9040 MILLBRANCH RD |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417251646 | Terri Darlene Gatton | Chiropractor | 1330 Goodman Rd E Ste 1, Southaven, MS 38671-5104 | 2011-01-03 |
| 1669790523 | Shawn D Wanderaas | Chiropractor | 1134 Church Road, Southaven, MS 38671 | 2010-05-17 |
| 1740423045 | Herbert Leon Brewer IIi | Chiropractor | 9067 Highway 51 N, Southaven, MS 38671-1230 | 2009-04-16 |
| 1720106875 | Bradley S Thompson Family Limited Partnership No One | Chiropractor | 7464 Tchulahoma Road, Southaven, MS 38671 | 2007-03-27 |
| 1376660688 | Dr. Steve Tencer | Chiropractor | 384 Goodman Rd E, Suite 162, Southaven, MS 38671-9522 | 2007-03-23 |
| 1407940174 | Darrell Duane Barnes | Chiropractor | 919 Ferncliff Cove #5, Southaven, MS 38671 | 2006-10-03 |
| 1396838157 | Mary Karen Martin | Chiropractor | 7464 Tchulahoma Rd, Southaven, MS 38671-9249 | 2006-10-02 |
| 1225120843 | David Michael Bakeris | Chiropractor | 6898 Elmore Rd, Southaven, MS 38671 | 2006-09-29 |
| 1093814170 | Trevor Lamar Qualls | Chiropractor | 7651 Tchulahoma Rd, Southaven, MS 38671-9227 | 2006-09-22 |
| 1548277957 | Patrick John Kelly | Chiropractor | 8332 Park Pike, Southaven, MS 38671-7304 | 2006-08-01 |
| Find all providers in SOUTHAVEN | ||||
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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.