DR. ANDRES E MARTIN JR. (NPI# 1467474767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467474767 |
| Entity Type | Individual |
| Full Name | DR. ANDRES E MARTIN JR. |
| Credential | M.D. |
| Practice Address |
4024 Central Ave Suncoast Cetner, Inc. St Petersburg FL 33711-1239 |
| Mailing Address |
4421 Sun N Lake Blvd Suite A Sebring FL 33872-2166 |
| Practice Telephone | 7273277656 |
| Practice Fax Number | 7273222150 |
| Mailing Telephone | 8633144357 |
| Mailing Fax Number | 8633821279 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME83254 | FL | Other Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME83254 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 12652 | 01 |
| FL | UPIN | E920872 | 01 |
| FL | 12652 | 05 | |
| FL | 266619700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609212612 | Andres Martin | Counselor | 102 Wheelock Rd, Watsonville, CA 95076-9719 | 2013-05-16 |
| 1336120112 | Andres S Martin | Psychiatry & Neurology | 230 S Frontage Rd, Child Study Center - Www-1, New Haven, CT 06519-1124 | 2005-11-09 |
| Street Address |
4024 CENTRAL AVE SUNCOAST CETNER, INC. |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371763 | Suncoast Center, Inc. | Clinic/Center | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2005-07-29 |
| 1790384709 | Tracy Reenae Hardaway | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-21 |
| 1154928877 | Tyler Ray-baker | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-10-06 |
| 1720694565 | Meghan Reese | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-09-17 |
| 1720691595 | Georgette Franklin | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| 1518570381 | Stephanie Ganoe | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| 1679181655 | April Irwin | Counselor | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-16 |
| 1497373757 | Mishania Jenkins | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-07-13 |
| 1154945632 | Kenneth Westerfield | Behavioral Analyst | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
| 1235753674 | Kathryn Ann Pinkston | Registered Nurse | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740567122 | Stephen Henry Groff | Psychiatry & Neurology | 1 Beach Dr Se Unit 2006, St Petersburg, FL 33701-3957 | 2011-11-13 |
| 1164744173 | Theodore J. Machler, Jr., M.d., P.a. | Psychiatry & Neurology | 6740 Crosswinds Dr N Ste B, St Petersburg, FL 33710-5472 | 2010-02-17 |
| 1588893614 | Rachel Lee Mckenna | Psychiatry & Neurology | 6752 29th St S, St Petersburg, FL 33712-5516 | 2009-07-10 |
| 1205095874 | Lauren Elizabeth Butterfield | Psychiatry & Neurology | 7901 4th St N Ste 308, St Petersburg, FL 33702-4313 | 2008-06-08 |
| 1720137938 | Theodore J Machler Jr. | Psychiatry & Neurology | 6740 Crosswinds Drive N, Suite B, St Petersburg, FL 33710 | 2007-01-09 |
| 1548366131 | Rizalina Brusas Tan | Psychiatry & Neurology | 1201 5th Ave N Ste 305, St Petersburg, FL 33705-1425 | 2006-09-15 |
| 1780792374 | Walter G Griffith Jr. | Psychiatry & Neurology | 5565 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1203 | 2006-08-25 |
| 1871550509 | Gisela Garcia-leyva | Psychiatry & Neurology | 211 4th Ave N, St Petersburg, FL 33701-2911 | 2006-04-27 |
| 1437127362 | Bryan A Ballot | Psychiatry & Neurology | 140 Fountain Pkwy N, Suite 600, St Petersburg, FL 33716-1285 | 2006-03-08 |
| 1033722780 | Gulf Coast Psychiatry Pllc | Psychiatry & Neurology | 2931 1st Ave S, St Petersburg, FL 33712-1008 | 2020-08-24 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
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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.