KENNETH MARTIN (NPI# 1598064677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598064677 |
| Entity Type | Individual |
| Full Name | KENNETH MARTIN |
| Credential | PA-C |
| Practice Address |
26 Edgerton Drive North Falmouth MA 02556 |
| Mailing Address |
24 Pearl Lane Teaticket MA 02536 |
| Practice Telephone | 5083563000 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2015-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA4103 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232579 | Kenneth Martin | Technician | 138 Ivy Rd, Lerona, WV 25971 | 2020-10-09 |
| 1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
| 1578122065 | Kenneth Kevin Martin | Pharmacist | 700 Scott and White Dr # 1.112, College Station, TX 77845-6441 | 2019-06-10 |
| 1154475952 | Kenneth Michael Martin | Physical Therapist | 2700 Lake Villa Dr Ste 100, Metairie, LA 70002-6782 | 2007-01-22 |
| 1760557334 | Kenneth R. Martin | Dentist | 694 S Willow Ave, Cookeville, TN 38501-3882 | 2006-11-21 |
| 1093899007 | Kenneth Leon Martin | Counselor | 105 Paces Brook Ave, #10518, Columbia, SC 29212-1642 | 2006-10-25 |
| 1245261809 | Kenneth J Martin | Marriage & Family Therapist | 564 Market St, Suite 410, San Francisco, CA 94104-5404 | 2006-07-05 |
| 1093743858 | Kenneth Martin Jr. | Audiologist | 710 N High St, Longview, TX 75601-5330 | 2006-06-29 |
| 1699730689 | Kenneth Andrew Martin | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2006-04-20 |
| 1528057726 | Kenneth Edward Martin | Chiropractor | 9130 Las Tunas Dr, Temple City, CA 91780-1903 | 2005-10-19 |
| Street Address |
26 EDGERTON DRIVE |
| City | NORTH FALMOUTH |
| State | MA |
| Zip Code | 02556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750413647 | Susan W Baur | Psychologist | 82 County Road, North Falmouth, MA 02556 | 2007-03-09 |
| 1952465866 | Maria T Batilo | Internal Medicine | 37 Edgerton Dr. Unit #3, North Falmouth, MA 02556 | 2006-12-22 |
| 1194815597 | Karen Smith Rohrberg | Nurse Practitioner | 107 County Rd, N Falmouth, MA 02556 | 2006-10-14 |
| 1942306766 | William Work Jr. | Optometrist | 634 Route 28a, No Falmouth, MA 02556 | 2006-09-16 |
| 1538191846 | Mark A Liska | Dermatology | 37 Edgerton Drive, Ste 1, North Falmouth, MA 02556 | 2006-07-07 |
| 1407806888 | Nancy K Barnett | Dermatology | 37 Edgerton Dr, Ste 1, North Falmouth, MA 02556 | 2006-05-10 |
| 1275599805 | Robert R Moore | Internal Medicine | 4 Edgerton Dr, North Falmouth, MA 02556 | 2006-04-22 |
| 1568857118 | Revert LLC | Clinic/Center | 634 N Falmouth Hwy Unit 10, North Falmouth, MA 02556 | 2015-03-31 |
| 1043474018 | James Boyd Vereen | Family Medicine | 33 Edgerton Dr, North Falmouth, MA 02556 | 2008-07-17 |
| 1184836405 | Audrey J Tobin | Nurse Practitioner | 4 Edgerton Dr, N Falmouth, MA 02556 | 2007-05-07 |
| Find all providers in zip 02556 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765777 | Paige Anita Whittaker | Physician Assistant | 26 Edgerton Dr Ste A, North Falmouth, MA 02556-2820 | 2018-07-01 |
| 1285065144 | Sarah Orciuch | Physician Assistant | 37 Edgerton Dr, North Falmouth, MA 02556-2821 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | NORTH FALMOUTH |
| Zip Code | 02556 |
Please comment or provide details below to improve the information on KENNETH MARTIN.
| 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.