SHANE L MARTIN


Address: 18700 N 64th Dr, Ste 105, Glendale, AZ 85308-7109
Phone: 8004830726

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 34339 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ HEALTHNET 3Z5706 01
AZ 583819 05

Other Providers SHANE MARTIN

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

Office Location

Street Address 18700 N 64TH DR
STE 105
City GLENDALE
State AZ
Zip Code 85308-7109

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City GLENDALE
Zip Code 85308

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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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