MRS. CRYSTAL NICOLE MARTH (NPI# 1467866004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467866004 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL NICOLE MARTH |
| Credential | AGACNP |
| Practice Address |
14825 Southfield Rd Allen Park MI 48101-2642 |
| Practice Telephone | 3133837071 |
| Mailing Telephone | 3133837071 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704245229 | MI | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704245229 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14825 SOUTHFIELD RD |
| City | ALLEN PARK |
| State | MI |
| Zip Code | 48101-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316917917 | Elias G Gennaoui | Specialist | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2006-01-25 |
| 1790393486 | Revard Joseph Saffo | Nurse Practitioner | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2020-07-19 |
| 1891310553 | Kakos Podiatry Pllc | Podiatrist | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2020-06-09 |
| 1811551369 | David Cannon | Nurse Practitioner | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2019-04-30 |
| 1932457546 | Ghassan A Atto Md Pllc | Family Medicine | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2012-08-29 |
| 1154606465 | Personal Care Medicine Associates, Plc | Internal Medicine | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2011-10-18 |
| 1114206349 | Shanique Renee Rubens-welch | Registered Nurse | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2011-08-04 |
| 1205000205 | Elias G Gennaoui M.d. PC | Specialist | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2008-04-22 |
| 1558561720 | Ghassan Amir Atto | Family Medicine | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
| 1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
| 1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
| 1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
| 1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
| 1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
| 1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| Find all providers in zip 48101 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710284872 | Jose Ramil Lasala | Nurse Practitioner | 9938 Allen Pointe Dr, Allen Park, MI 48101-1489 | 2011-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | ALLEN PARK |
| Zip Code | 48101 |
Please comment or provide details below to improve the information on MRS. CRYSTAL NICOLE MARTH.
| 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.