DR. ROBERT E MARTIN (NPI# 1619978210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619978210 |
| Entity Type | Individual |
| Full Name | DR. ROBERT E MARTIN |
| Credential | M.D. |
| Practice Address |
1000 N Front St Wormleysburg PA 17043-1034 |
| Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7177310101 |
| Practice Fax Number | 7177318359 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2018-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD420974 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD420974 | PA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD420974 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001943834 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426030 | Robert Arthur Martin Jr. | Counselor | 15 S Grady Way Ste 241, Renton, WA 98057-3209 | 2019-09-17 |
| 1861992372 | Robert Martin | Nurse Practitioner | 4475 Willa Creek Dr Apt 111, Winter Springs, FL 32708-5227 | 2018-02-20 |
| 1972908556 | Robert Martin | Pharmacist | 19315 Mountain Meadow Ct, Grass Valley, CA 95949-9579 | 2014-10-25 |
| 1073834404 | Robert Ambrose Martin | Family Medicine | 380 S Davis Rd, Suite E&f, Lagrange, GA 30241-2588 | 2010-06-21 |
| 1275863995 | Robert Gene Martin | Social Worker | 1315 Central Ct, Hermitage, TN 37076-3153 | 2009-12-31 |
| 1932438595 | Robert Carl Martin | Chiropractor | 78-6894 Keaupuni St, Kailua Kona, HI 96740-2847 | 2009-12-10 |
| 1891966404 | Robert Andrew Martin | Dentist | 101 Walker Way, Starkville, MS 39759 | 2008-03-22 |
| 1396961728 | Robert Stephen Martin | Dentist | 2225 Defense Hwy., Suite G, Crofton, MD 21114 | 2007-04-17 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1417092230 | Robert Earl Martin Jr. | Dentist | 3609 Georgia Ave Nw, Washington, DC 20010-1634 | 2007-02-20 |
| Street Address |
1000 N FRONT ST |
| City | WORMLEYSBURG |
| State | PA |
| Zip Code | 17043-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372571 | John P Zornosa | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2005-08-02 |
| 1518436831 | Nicholas Joseph Ranieli | Physician Assistant | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2018-11-15 |
| 1194221226 | Lauren Michele Hanly | Nurse Practitioner | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2018-04-05 |
| 1639699614 | Kaitlyn Marie Ball | Physician Assistant | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2017-06-21 |
| 1487017059 | Jesus Vargas Jr. | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2016-04-01 |
| 1487028411 | Kristen N Knoll | Nurse Practitioner | 1000 N Front St, Wormleysburg, PA 17043-1021 | 2015-11-13 |
| 1902289549 | Melinda A Rudy | Physician Assistant | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2015-07-01 |
| 1720467897 | Nicole Brianne Theofanis | Physician Assistant | 1000 N Front St, Wormleysburg, PA 17043-1021 | 2015-05-22 |
| 1063776359 | Jessica L Root | Physician Assistant | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2012-07-02 |
| 1780940205 | Sunil Kanwal | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821591025 | Verber Dental Group, PC | Dentist | 819 Market Street, Fox Dental, Lemoyne, PA 17043 | 2018-03-14 |
| 1386065209 | Stephanie A Depalmer | Counselor | 20 Erford Rd Ste 101, Lemoyne, PA 17043 | 2013-12-18 |
| 1467662130 | Blanc Counseling Services | Nursing Care | 1017 Mumma Road, Suit 200, Wormleysburg, PA 17043 | 2007-05-23 |
| 1265516546 | Carol A Flory | Social Worker | 20 Erford Road, Suite # 101, Lemoyne, PA 17043 | 2006-10-24 |
| 1881615219 | James D Herbst | Optometrist | 717 Market St., Suite 112, Lemoyne, PA 17043 | 2006-07-21 |
| 1285669341 | Brian Kirby Fogarty | Psychologist | 426 S Third St, Ste 201, Lemoyne, PA 17043 | 2006-07-11 |
| 1316998966 | Conforti Rehabilitation Services, Inc. | Physical Therapist | 110 North 7th Street, Lemoyne, PA 17043 | 2006-05-16 |
| 1780632430 | Thomas E Becker II | Chiropractor | 501 Market St, Lemoyne, PA 17043 | 2006-05-05 |
| 1790756542 | Jack Edward Wilson | Surgery | 3 Walnut St Ste 100, Lemoyne, PA 17043 | 2006-01-30 |
| 1891779088 | Shelby R Sieber | Optometrist | 717 Market Street, Suite 112, Lemoyne, PA 17043 | 2005-12-01 |
| Find all providers in zip 17043 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780940205 | Sunil Kanwal | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2012-04-10 |
| 1174818892 | Thomas Christopher Morris | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2011-06-10 |
| 1053568972 | Shweta Aggarwal | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2008-08-21 |
| 1902000581 | Mehreen A Qureshi | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1021 | 2007-06-14 |
| 1386852390 | Hemal Gada | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1021 | 2007-05-21 |
| 1083616437 | Moffitt Heart and Vascular Group Inc. | Internal Medicine | 1000 N Front St, Suite 200, Wormleysburg, PA 17043-1034 | 2005-08-15 |
| 1558362152 | David Chang | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2005-08-03 |
| 1689675316 | Paul Piccini | Internal Medicine | 1000 N Front St, Suite 200, Wormleysburg, PA 17043-1034 | 2005-08-03 |
| 1952302663 | David G Pawlush | Internal Medicine | 1000 N Front St, Wormleysburg, PA 17043-1034 | 2005-08-03 |
| 1437150372 | Dennis E Line | Internal Medicine | 1000 N Front St, Suite 200, Wormleysburg, PA 17043-1034 | 2005-08-02 |
| Find all providers in WORMLEYSBURG | ||||
| City | WORMLEYSBURG |
| Zip Code | 17043 |
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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.