KRYSTAL ANN MARTIN


Address: 45044 Fair Oaks Dr, Canton, MI 48187-5008
Phone: 7344045118

KRYSTAL ANN MARTIN (NPI# 1497980668) 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) 1497980668
Entity Type Individual
Full Name KRYSTAL ANN MARTIN
Other Name KRYSTAL ANN BAGGS
Credential PA-C
Practice Address 45044 Fair Oaks Dr
Canton
MI 48187-5008
Mailing Address 7285 W Ellsworth Rd
Ann Arbor
MI 48103-9277
Practice Telephone 7344045118
Mailing Telephone 7346229500
Mailing Fax Number 7346229555
Enumeration Date 2009-05-18
Last Update Date 2018-05-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 282N00000X General Acute Care Hospital 5501013733 MI Hospitals
N 314000000X Skilled Nursing Facility 5501013733 MI Nursing & Custodial Care Facilities
Y 363A00000X Physician Assistant 5601008250 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers KRYSTAL MARTIN

NPI Name Taxonomy Address Enumeration
1811505191 Krystal Martin Registered Nurse 6974 N 43rd St Unit C, Milwaukee, WI 53209-2270 2020-07-22
1770787996 Krystal Maria Martin Nursing Care 513 Hemlock Hill Lane, Jonestown, PA 17038-8151 2007-06-12
1013546043 Krystal Marie Martin Counselor 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 2020-04-02
1902296908 Krystal Martin Technician, Other 1330 Martin Blvd, Baltimore, MD 21220-4104 2015-01-28
1144512310 Krystal L Martin Social Worker 338 Granville St, Gahanna, OH 43230-2990 2011-05-06
1982916474 Krystal L Martin Counselor 1004 E Highway 54, Guymon, OK 73942-4549 2010-07-13
1609990639 Krystal Nicole Martin Case Manager/Care Coordinator 909 Alameda St, Norman, OK 73071-5229 2007-03-16

Office Location

Street Address 45044 FAIR OAKS DR
City CANTON
State MI
Zip Code 48187-5008

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114547874 Savannah Dugan Occupational Therapist 5969 N Canton Center Rd, Canton, MI 48187 2020-04-23
1225674823 Cura Professional Group Home Health 1638 East Lakeview Lane, Canton, MI 48187 2019-11-19
1740825207 Vlp Can LLC Dentist 39883 Ford Rd., Canton, MI 48187 2019-11-08
1487112942 Michigan Dialysis Services, LLC Clinic/Center 275 N Canton Center Rd, Canton, MI 48187 2019-03-04
1447734496 Integrated Health Pharmacy LLC Pharmacy 49650 Cherry Hill Rd., Canton, MI 48187 2018-09-16
1285117499 Susan Rhoton Licensed Vocational Nurse 6223 N Canton, Suite 201, Canton, MI 48187 2018-09-13
1285110767 Personalized Nursing Light House Inc Substance Abuse Rehabilitation Facility 7752 N Canton Center Rd Ste 120, Canton, MI 48187 2018-07-17
1083111793 Heydie Alejandra Orr Social Worker 5840 N Canton Center Rd Ste 221, Canton, MI 48187 2018-04-09
1285139204 Chawla Enterprises Inc Durable Medical Equipment & Medical Supplies 5840 N Canton Center Rd Ste 222, Canton, MI 48187 2018-03-30
1689192221 Arcturus Pllc Physical Therapist 5820 Lilley Rd. Suite 6, Canton, MI 48187 2017-09-04
Find all providers in zip 48187

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164048674 Rebecca Lynn Yunk Physician Assistant 50433 Monroe St, Canton, MI 48188-6601 2020-06-20
1780210781 Olivia Anastasia Basso Physician Assistant 4912 Higbee Ave Nw Ste 200, Canton, OH 44718-2599 2020-03-21
1700428802 Meagan Elizabeth Hogan Physician Assistant 6119 Us Highway Route 11, Canton, NY 13617 2019-10-10
1578113593 Luiza Lica Physician Assistant 246 Princess Dr, Canton, MI 48188-1142 2019-09-12
1235614900 Eva Louisa Paoloni Physician Assistant 1105 W Maple St Apt 3, Canton, OH 44720-2869 2018-09-28
1992281653 Elizabeth Judy Physician Assistant 460 Northside Cherokee Blvd Ste 430, Canton, GA 30115-8020 2018-07-16
1083124051 Stephanie Black Physician Assistant 1455 Harrison Ave Nw Ste 105, Canton, OH 44708-2609 2017-10-04
1972024594 Patrick James Sullivan Physician Assistant 6619 State Highway Route 11, Canton, NY 13617 2017-07-05
1588111074 Kinjal Shah Physician Assistant 43767 Ford Rd, Canton, MI 48187-3185 2016-09-01
1144683731 Ellen Catherine Mitchell Physician Assistant 48575 Joy Rd, Canton, MI 48187-1214 2016-03-31
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 48187

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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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