SHANE L MARTIN (NPI# 1659351682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659351682 |
| Entity Type | Individual |
| Full Name | SHANE L MARTIN |
| Credential | M.D. |
| Practice Address |
18700 N 64th Dr Ste 105 Glendale AZ 85308-7109 |
| Mailing Address |
P.o. Box 29870 Phoenix AZ 85038-9870 |
| Practice Telephone | 8004830726 |
| Practice Fax Number | 8004830729 |
| Mailing Telephone | 6027723800 |
| Mailing Fax Number | 6027723801 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2015-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 34339 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 3Z5706 | 01 |
| AZ | 583819 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952815532 | Shane Martin | Registered Nurse | 2110 Augusta St, Eugene, OR 97403-2202 | 2017-11-19 |
| 1417439092 | Shane Douglas Martin | Counselor | 1333 Nw 9th St, Prineville, OR 97754-1482 | 2018-08-30 |
| 1235421090 | Shane Martin | Rehabilitation Practitioner | 100 Rosaschi Rd, Yerington, NV 89447-8722 | 2011-05-11 |
| 1386872588 | Shane Douglas Martin | Surgery | 4201 Campus Ridge Drive, Midland, MI 48640 | 2009-06-25 |
| 1588842843 | Shane M Martin | Pharmacist | 52d Medical Group, Unit 3865, Apo, AE 09126-3865 | 2008-02-07 |
| Street Address |
18700 N 64TH DR STE 105 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415313 | Karie Shelton | Physician Assistant | 18700 N 64th Dr, Ste 301, Glendale, AZ 85308-7114 | 2005-05-31 |
| 1194164335 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 18700 N 64th Dr, Ste 105, Glendale, AZ 85308-7110 | 2013-06-20 |
| 1770921884 | Mark S Maxwell | Audiologist | 18700 N 64th Dr, Ste 201, Glendale, AZ 85308-7109 | 2013-06-11 |
| 1548512643 | Allyssa Perri | Physician Assistant | 18700 N 64th Dr, Ste 105, Glendale, AZ 85308-7109 | 2012-10-12 |
| 1285905315 | Dana M Garner | Nurse Practitioner | 18700 N 64th Dr, Suite 208, Glendale, AZ 85308-7109 | 2012-01-20 |
| 1578832309 | Christina Chrisman | Psychiatry & Neurology | 18700 N 64th Dr, Suite 206, Glendale, AZ 85308-7109 | 2011-12-23 |
| 1407137789 | Arrowhead Childrens Dentistry, Plc | Dentist | 18700 N 64th Dr, Suite 302, Glendale, AZ 85308-7109 | 2011-08-31 |
| 1841449188 | Gregory A Bode LLC | Family Medicine | 18700 N 64th Dr, Suite 108, Glendale, AZ 85308-7109 | 2008-09-11 |
| 1952560047 | Sheri Holemon | Physician Assistant | 18700 N 64th Dr, Suite 301, Glendale, AZ 85308-7109 | 2008-06-04 |
| 1730362443 | Stefanie A Lein | Pharmacist | 18700 N 64th Dr, Suite 100, Glendale, AZ 85308-7109 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113849 | G2 Physicians LLC | Orthopaedic Surgery | 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 | 2020-01-15 |
| 1174014864 | Phoenix Orthopaedic Consultants, P.C. | Orthopaedic Surgery | 18699 N 67th Ave Ste 120, Glendale, AZ 85308-7141 | 2018-05-29 |
| 1346586013 | Integrated Medical Services Inc | Orthopaedic Surgery | 7330 N 99th Ave # 325, Glendale, AZ 85307-3003 | 2012-12-27 |
| 1558621870 | Nick Ghazarian | Orthopaedic Surgery | 222 W Eulalia St Ste 309, Glendale, CA 91204-2851 | 2012-05-21 |
| 1326360231 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 18555 N 79th Ave Ste E101, Glendale, AZ 85308-8392 | 2010-02-18 |
| 1497935290 | Thomas B. Huizenga, M.d.,s.c. | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 130, Glendale, WI 53212-1010 | 2007-11-08 |
| 1164648242 | Frank Hyman Kanovsky | Orthopaedic Surgery | 655 N Central Ave, Suite 900, Glendale, CA 91203-1422 | 2007-04-18 |
| 1962628388 | Leah Cyran | Orthopaedic Surgery | 1500 E Chevy Chase Dr Ste 401b, Glendale, CA 91206-4152 | 2007-04-17 |
| 1134214091 | Vahan Cepkinian | Orthopaedic Surgery | 222 W Eulalia #300, Glendale, CA 91204 | 2006-10-04 |
| 1770684946 | Edward G Stokes | Orthopaedic Surgery | 610 North Central Avenue, 207, Glendale, CA 91203-1403 | 2006-09-26 |
| Find all providers in GLENDALE | ||||
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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.