JESSE CARRILLO MARTINEZ JR. (NPI# 1518257575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518257575 |
| Entity Type | Individual |
| Full Name | JESSE CARRILLO MARTINEZ JR. |
| Credential | M.D. |
| Practice Address |
619 19th St S Birmingham AL 35249-1900 |
| Practice Telephone | 2059753444 |
| Practice Fax Number | 2059757406 |
| Mailing Telephone | 2059753444 |
| Mailing Fax Number | 2059757406 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
32129 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762567 | Jesse Martinez | Internal Medicine | 9377 N Haggerty Rd, Plymouth, MI 48170-4622 | 2005-10-05 |
| 1932609047 | Jesse Martinez | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2018-02-15 |
| 1730472747 | Jesse Martinez | Marriage & Family Therapist | 4000 W Metropolitan Dr # 401, Orange, CA 92868-3504 | 2011-05-24 |
| 1306059522 | Jesse S Martinez | Social Worker | 577 El Llano Rd, Espanola, NM 87532-2911 | 2007-05-07 |
| 1023234341 | Jesse Martinez Jr. | Physician Assistant | 4438 W Jefferson Blvd, Dallas, TX 75211-4623 | 2007-04-17 |
| Street Address |
619 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838505 | Peggy Calhoun Wilson | Pharmacist | 619 19th St S, Birmingham, AL 35249-1900 | 2005-06-01 |
| 1922607548 | Breck Fowler Hamilton | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-24 |
| 1477152650 | Brandi Bailey | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-20 |
| 1003415456 | Shannon Marie Harrison | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-17 |
| 1720685886 | Aeriel Flippo Swinsick | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-02 |
| 1477160604 | Lundy Starke Williams | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-01 |
| 1003422320 | Leah York | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-09-22 |
| 1972123420 | William Chase Cooper | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-04-24 |
| 1699394494 | Eme Unanaowo | Registered Nurse | 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 | 2020-04-11 |
| 1285253369 | Robert Chase Ruffo | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063688216 | Central Alabama Psychiatry, LLC | Psychiatry & Neurology | 2100a Southbridge Pkwy, Suite 540, Birmingham, AL 35209-1370 | 2008-05-07 |
| 1134222094 | Child & Adolescent Associates P.C. | Psychiatry & Neurology | 1025 Montgomery Hwy., Suite 200, Birmingham, AL 35216-2803 | 2006-09-06 |
| 1548236458 | Helen Teresa Moran | Psychiatry & Neurology | 1025 Montgomery Hwy, Suite 200, Birmingham, AL 35216-2845 | 2006-02-28 |
| 1598263410 | Shelley Lauterbach | Psychiatry & Neurology | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2018-01-25 |
| 1902247323 | Blessing Nnenna Falola | Psychiatry & Neurology | 625 19th St S, Birmingham, AL 35233-1900 | 2013-07-14 |
| 1194160614 | Elizabeth Ferguson | Psychiatry & Neurology | 601 Beacon Pkwy W Ste 201, Birmingham, AL 35209-3123 | 2013-05-10 |
| 1437435591 | Shehi Medical, LLC | Psychiatry & Neurology | 2100a Southbridge Pkwy, Birmingham, AL 35209-1370 | 2011-11-02 |
| 1679863690 | Yesie Yoon | Psychiatry & Neurology | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2011-04-11 |
| 1366731168 | Janaki Nimmagadda | Psychiatry & Neurology | 1600 7th Ave S, Ireland Center, Birmingham, AL 35233-1711 | 2011-04-01 |
| 1720377526 | Clinton Martin | Psychiatry & Neurology | 619 19th St S, Birmingham, AL 35249-1900 | 2011-04-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
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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.