CAROLYN M. MARTIN (NPI# 1669465134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669465134 |
| Entity Type | Individual |
| Full Name | CAROLYN M. MARTIN |
| Credential | M.D. |
| Practice Address |
621 S New Ballas Rd Ste 2007b Saint Louis MO 63141-8265 |
| Mailing Address |
621 S New Ballas Rd Suite 2007b Saint Louis MO 63141-8232 |
| Practice Telephone | 3149915000 |
| Practice Fax Number | 3149915035 |
| Mailing Telephone | 3149915000 |
| Mailing Fax Number | 3149915035 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | R7824 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200990844 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154568194 | Carolyn Lea Martin | Chiropractor | 5348 Topanga Canyon Blvd Ste 205, Woodland Hills, CA 91364-1757 | 2009-01-13 |
| 1447423108 | Carolyn Marie Martin | Registered Nurse | 17101 Preston Rd Ste 200, Dallas, TX 75248-1374 | 2008-04-02 |
| 1205013307 | Carolyn Goodrich Martin | Legal Medicine | 713 4th St, Kalkaska, MI 49646-9506 | 2008-01-31 |
| 1710906466 | Carolyn C Martin | Psychologist | 8142 Country Village Dr # 102, Cordova, TN 38016-2029 | 2006-07-19 |
| 1255304754 | Carolyn J Martin | Optometrist | 100 Verde Valley School Road, Suite 114, Sedona, AZ 86351 | 2006-02-07 |
| 1831175462 | Carolyn Johanna Martin | Emergency Medicine | 400 Ne Mother Joesph Place, Vancouver, WA 98664 | 2005-12-15 |
| 1134607971 | Carolyn Martin | Social Worker | 55 Colby St, Colebrook, NH 03576-3047 | 2018-08-03 |
| 1659870053 | Carolyn Rae Martin | Counselor | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2018-02-12 |
| 1285171207 | Carolyn Martin | Social Worker | 740 N 6th Ave, Steubenville, OH 43952-1844 | 2017-01-28 |
| 1194018283 | Carolyn Dianne Martin | Marriage & Family Therapist | 12351 W 96th Ter, Ste.300, Lenexa, KS 66215-4409 | 2011-05-23 |
| Street Address |
621 S NEW BALLAS RD STE 2007B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810129 | Mercy Clinic Maternal Fetal Medicine LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2017-09-20 |
| 1235498114 | Alexandra Marie Edwards | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2012-05-11 |
| 1629202270 | Asal Fathian | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2009-05-12 |
| 1558532895 | Amanda M Hermann | Dietitian, Registered | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2008-03-14 |
| 1316122476 | Michelle Silasi | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2008-01-08 |
| 1417007428 | Ivana M Vettraino | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141 | 2007-01-11 |
| 1598716920 | Joseph Polcaro | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568984367 | Gsh Lab LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 1017b, Saint Louis, MO 63141-8264 | 2017-07-13 |
| 1851825715 | Sydni Fazenbaker Crowell | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141 | 2017-04-18 |
| 1962865170 | Zachary Keller | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 499a, Saint Louis, MO 63141-8260 | 2016-04-04 |
| 1174985154 | Leah Hong | Obstetrics & Gynecology | 6420 Clayton Rd Ste 2800, Saint Louis, MO 63117-1811 | 2016-03-28 |
| 1972997088 | Jennifer E Powel | Obstetrics & Gynecology | 6420 Clayton Rd Ste 230-a, Saint Louis, MO 63117-1811 | 2015-03-26 |
| 1386068864 | Wcc 2, LLC | Obstetrics & Gynecology | 3023 N Ballas Rd Bldg D, Suite 120d, Saint Louis, MO 63131-2330 | 2014-02-05 |
| 1881987410 | Herman Taute | Obstetrics & Gynecology | 12040 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2011-05-16 |
| 1174828198 | Frank Eugene Hunleth | Obstetrics & Gynecology | 5331 Donovan Ave, Saint Louis, MO 63109-2635 | 2011-01-22 |
| 1972804631 | Anastasios K Dagartzikas | Obstetrics & Gynecology | 12902 Tundra Ct, Saint Louis, MO 63131-1319 | 2010-11-11 |
| 1811227390 | Laurel D Fendrich | Obstetrics & Gynecology | 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128 | 2010-01-06 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on CAROLYN M. 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.