EDWARD JUSTIN MARTINEZ (NPI# 1578983524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578983524 |
| Entity Type | Individual |
| Full Name | EDWARD JUSTIN MARTINEZ |
| Practice Address |
75 Herrick St Ste 219 Beverly MA 01915-5900 |
| Practice Telephone | 9789270714 |
| Mailing Telephone | 9789270714 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 279546 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742895 | Edward Joseph Martinez | Behavior Technician | 400 W Ventura Blvd Ste 230, Camarillo, CA 93010-9142 | 2020-02-19 |
| 1720543366 | Edward Rafael Martinez | Counselor | 1516 E Colonial Dr, Orlando, FL 32803-4740 | 2019-02-07 |
| 1750893756 | Edward Martinez | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2017-10-30 |
| 1588096424 | Edward Anthony Martinez | Nurse Practitioner | 462 1st Ave, Anesthesiology Department 11e2 11th Floor, New York, NY 10016-9196 | 2013-08-02 |
| 1467792549 | Edward Martinez | Counselor | 402 S 4th Ave, Yakima, WA 98902-3546 | 2013-02-26 |
| 1720233042 | Edward A Martinez | Physician Assistant | 1212 N Highway 377, Suite 119, Roanoke, TX 76262-6916 | 2008-12-01 |
| 1114195286 | Edward Maury Martinez | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2008-02-12 |
| Street Address |
75 HERRICK ST STE 219 |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801059837 | Marc Damian Manganiello | Urology | 75 Herrick St Ste 219, Beverly, MA 01915-5900 | 2008-07-09 |
| 1306160213 | Yanina Barbalat | Urology | 75 Herrick St Ste 219, Lahey Institue of Urology, Beverly, MA 01915-5900 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801059837 | Marc Damian Manganiello | Urology | 75 Herrick St Ste 219, Beverly, MA 01915-5900 | 2008-07-09 |
| 1053625509 | New England Urology | Urology | 900 Cummings Ctr, Suite 117t, Beverly, MA 01915-6198 | 2010-07-27 |
| 1306160213 | Yanina Barbalat | Urology | 75 Herrick St Ste 219, Lahey Institue of Urology, Beverly, MA 01915-5900 | 2010-03-22 |
| 1356593701 | Emilia Phillips Md PC | Urology | 900 Cummings Ctr, Suite 304t, Beverly, MA 01915-6198 | 2008-10-16 |
| 1013128636 | New England Institute of Urology, LLC | Urology | 900 Cummings Ctr, Suite 117t, Beverly, MA 01915-6198 | 2007-05-25 |
| 1720159627 | Daniel Seth Blander | Urology | 75 Herrick St, Suite 219, Beverly, MA 01915-5903 | 2006-11-13 |
| 1437170263 | John S Ledbetter | Urology | 75 Herrick St, Ste 219, Beverly, MA 01915 | 2006-07-21 |
| 1528000254 | Michael J Zachareas | Urology | 900 Cummings Ctr, Suite 117t, Beverly, MA 01915-6198 | 2006-06-10 |
| 1235195058 | Emilia Phillips | Urology | 900 Cummings Ctr, Suite 304t, Beverly, MA 01915-6198 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099737 | Kelly Lindert | Urology | 68 Chester St, Arlington, MA 02476-7607 | 2020-03-26 |
| 1619464781 | Osama Alalao | Urology | 655 Concord Ave Apt 702, Cambridge, MA 02138-1086 | 2018-04-15 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1447707450 | Yonah Krakowsky | Urology | 200 Boylston St # A309, Chestnut Hill, MA 02467-2012 | 2016-09-07 |
| 1952796518 | Filipe La Fuente De Carvalho | Urology | 55 Fruit St Dept of Urology, Boston, MA 02114-2621 | 2015-03-31 |
| 1487087375 | Abdulsalam Ahmed Albalawi | Urology | 88 Thornton Rd, 88, Chestnut Hill, MA 02467-3611 | 2013-08-14 |
| 1083955538 | Eugene Blanchard Cone | Urology | 55 Fruit St - Grb 1100, Massachusetts General Hospital - Department of Urology, Boston, MA 02114 | 2013-03-08 |
| 1881946929 | David T Mahony | Urology | 223 Fairview Ave, Brockton, MA 02301-2907 | 2012-10-14 |
| 1710240395 | Chintan Patel | Urology | 85 Prescott St Ste 403, Worcester, MA 01605-2671 | 2012-06-19 |
| Find all providers with the same taxonomy | ||||
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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.