DANIEL RICHARD MARTIN (NPI# 1437414935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437414935 |
| Entity Type | Individual |
| Full Name | DANIEL RICHARD MARTIN |
| Credential | DO |
| Practice Address |
4205 Belfort Rd Ste 3030 Jacksonville FL 32216-1474 |
| Mailing Address |
11945 San Jose Blvd Ste 300 Jacksonville FL 32223-1627 |
| Practice Telephone | 9042964141 |
| Practice Fax Number | 9042792095 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043964893 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2019-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OS14607 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021580600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491 | 3523079925 | 3523078442 |
| 1801 Us Highway 441 Bldg 100, Leesburg, FL 347482545 | 3524604004 | 3524604003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198750 | Daniel Martin | Physical Therapy Assistant | 5535 S Williamson Blvd Ste 700, Port Orange, FL 32128-8321 | 2020-03-07 |
| 1477115160 | Daniel Martin | Occupational Therapist | 900 N Ford Rd, Zionsville, IN 46077-1199 | 2019-07-02 |
| 1053804575 | Daniel James Martin | Psychologist | 19 Linwold Dr, West Hartford, CT 06107-1237 | 2018-06-09 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1902237795 | Daniel Martin | Veterinarian | 5610 Blanding Blvd, Jacksonville, FL 32244-1923 | 2013-12-05 |
| 1013213354 | Daniel Keith Martin X | Behavioral Analyst | 11912 Amistoso Ln, Las Vegas, NV 89138-4532 | 2011-02-03 |
| 1063746493 | Daniel Martin | Physical Therapist | 3002 Ponteverde Ln, Davis, CA 95618-6528 | 2009-10-02 |
| 1790914166 | Daniel Edward Martin | Speech-Language Pathologist | 111 W Washington St Ste 903, Chicago, IL 60602 | 2009-07-07 |
| 1356555643 | Daniel John Martin | Counselor | 15 Greenfield Ln, Hampton, NY 12837-2106 | 2007-05-09 |
| 1962622233 | Daniel Alan Martin | Radiologic Technologist | 601 Hwy 6 W, Vamc, Iowa City, IA 52246-2208 | 2007-04-27 |
| Street Address |
4205 BELFORT RD STE 3030 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1922577626 | Grettel Wentling | Surgery | 7915 Turnstone Cir E, Jacksonville, FL 32256-2358 | 2018-11-26 |
| 1083030977 | Min Li Xu | Surgery | 2 Shircliff Way Ste 500, Jacksonville, FL 32204-4763 | 2014-03-15 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1356602221 | Jan-michael Van Gent | Surgery | Navy Medicine Support Command Attn: Medical Staff Serv., Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-06-06 |
| 1710245840 | Lenka Zachar Md Plc | Surgery | 3 Shircliff Way Ste 500, Jacksonville, FL 32204-4757 | 2012-04-26 |
| 1992015812 | Ashok Roychoudhury, M.d., P.a. | Surgery | 2032a Southside Blvd, Jacksonville, FL 32216-1944 | 2010-10-13 |
| 1558682054 | Jonathan Robert Gower | Surgery | Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2010-06-18 |
| 1851612683 | Jason Bradley Brill | Surgery | Bldg H 2005 Knight Ln, Navy Medicine Support Command, Attn Medical Staff Serv, Jacksonville, FL 32212 | 2010-06-16 |
| 1144541152 | Matthew Thomas Smith | Surgery | 14540 Old Saint Augustine Rd Ste 2571, Jacksonville, FL 32258-7420 | 2010-06-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.