TRACY MCWHORTER MARTINO


Address: 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529
Phone: 4234346300

TRACY MCWHORTER MARTINO (NPI# 1568779155) 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) 1568779155
Entity Type Individual
Full Name TRACY MCWHORTER MARTINO
Credential PA-C
Practice Address 3 Professional Park Dr Ste 21
Johnson City
TN 37604-6529
Practice Telephone 4234346300
Practice Fax Number 4234346312
Mailing Telephone 4234346300
Mailing Fax Number 4234346312
Enumeration Date 2010-09-03
Last Update Date 2019-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3610 TN Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3610 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4221 Fort Henry Dr Ste 100, Kingsport, TN 376632227 4232391550 4232391544

Other Providers TRACY MARTINO

NPI Name Taxonomy Address Enumeration
1497032270 Tracy Martino Technician, Health Information 18302 Irvine Blvd, Suite 300, Tustin, CA 92780-3435 2011-11-08
1003091182 Tracy Lyn Martino Nurse Practitioner 600 Gresham Dr, Norfolk, VA 23507-1904 2008-01-08

Office Location

Street Address 3 PROFESSIONAL PARK DR STE 21
City JOHNSON CITY
State TN
Zip Code 37604-6529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154809622 Kristin Bounds Righi Physician Assistant 3 Professional Park Dr Ste 21, Johnson City, TN 37604 2018-08-06
1245740422 Blakeley Elizabeth Burleson Orthopaedic Surgery 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 2017-10-02
1114375664 Billy J. Earl II Registered Nurse 3 Professional Park Dr Ste 21, Johnson City, TN 37604 2016-05-25
1902282270 Mary Tabatha Simon Nurse Practitioner 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 2015-08-10
1619264355 Matthew Douglas Adams Specialist/Technologist 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 2011-07-01
1932491180 Larry Dale Waldrop II Orthopaedic Surgery 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 2011-05-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

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
1821616590 Brenda L Rankhorn Physician Assistant 402 Brookwood Dr, Johnson City, TN 37615-4924 2020-07-09
1336706183 Andrew Thomas Rogers Physician Assistant 401 E Watauga Ave, Johnson City, TN 37601-4036 2019-05-28
1750859831 Bethany Marie Zakrzewski Physician Assistant 410 N State of Franklin Rd Ste 120, Johnson City, TN 37604-6972 2018-11-07
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1417453440 Blue Ridge Medical Management Corpoartion Physician Assistant 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 2018-03-30
1083082838 Amber Dykes Physician Assistant 119 Boone Ridge Dr Ste 201, Johnson City, TN 37615-8000 2015-09-10
1720336712 Amy C Flint Physician Assistant 303 Med Tech Pkwy Ste 150, Johnson City, TN 37604-2394 2012-08-22
1932430741 Lisa M Adams Physician Assistant 1301 Sunset Drive, Suite 3, Johnson City, TN 37604 2010-01-18
1265594618 Whitney Diane Davis Physician Assistant 2514 Wesley St Ste 102, Johnson City, TN 37601-1764 2006-12-14
1528167251 Kimberly S Belke Physician Assistant 240 Riverside Dr., Johnson City, NY 13790-2732 2006-09-21
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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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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