ZACHARY B MARTIN JR. (NPI# 1679645022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679645022 |
| Entity Type | Individual |
| Full Name | ZACHARY B MARTIN JR. |
| Credential | M.D. |
| Practice Address |
255 W 5th St Sw Suite 150 Rome GA 30165-2817 |
| Mailing Address |
Po Box 369 Rome GA 30162-0369 |
| Practice Telephone | 7062321545 |
| Practice Fax Number | 7062323819 |
| Mailing Telephone | 7062912077 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
035471 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
035471 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
035471 | GA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
035471 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
035471 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
035471 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
035471 | GA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
035471 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000494777A | 05 | |
| GA | BCBS OF GEORGIA | 027195 | 01 |
| GA | RAILROAD MEDICARE | 300034704 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457892473 | Zachary Martin | Driver | 50 Cotter Ave Apt 405, Akron, OH 44305-2367 | 2017-03-09 |
| 1548872583 | Zachary David Martin | Physician Assistant | 1 Continental Dr, Elizabethtown, PA 17022-2231 | 2020-08-20 |
| 1124648738 | Zachary Alexander Martin | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Cb# 7600, Chapel Hill, NC 27599 | 2020-04-23 |
| 1659927804 | Zachary Martin | Physical Therapist | 110 Haverhill Rd Ste 292, Amesbury, MA 01913-2119 | 2019-08-14 |
| 1194381764 | Zachary Martin | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2019-05-19 |
| 1194228197 | Zachary Martin | Counselor | 400 Virginia Ave Ste 201, North Bend, OR 97459-3444 | 2018-03-15 |
| 1467988980 | Zachary Paul Martin | Social Worker | 1111 Columbus St, Bakersfield, CA 93305-1936 | 2017-05-03 |
| 1952759953 | Zachary Martin | Pharmacist | 6901 Market St, Wilmington, NC 28411-9727 | 2016-05-31 |
| 1770938169 | Zachary Martin | Chiropractor | 201 Great Oaks Trl, Wadsworth, OH 44281-9430 | 2016-05-04 |
| 1740657139 | Zachary Martin | Pharmacist | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2015-09-01 |
| Street Address |
255 W 5TH ST SW SUITE 150 |
| City | ROME |
| State | GA |
| Zip Code | 30165-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703181 | Lisa Pinkard Acree | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-01-09 |
| 1386136539 | Jaime Elaine Pesl | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2018-06-04 |
| 1316470867 | Nina Anzie Emeline Botouli | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2017-04-11 |
| 1275074387 | Whitney Leigh Worthy | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2017-03-09 |
| 1538413513 | Joy R Mcgee | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2012-10-30 |
| 1184923492 | Harbin Clinic LLC | Pharmacy | 255 W 5th St Sw, Rome, GA 30165-2817 | 2011-03-25 |
| 1568789261 | Gregory Everett Harris | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165 | 2010-04-21 |
| 1639495369 | Harbin Clinic Hematology Oncology | Non-Pharmacy Dispensing Site | 255 W 5th St Sw, Rome, GA 30165-2817 | 2010-04-20 |
| 1669538096 | Janice Gribble Hopkins | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-29 |
| 1184789315 | Thomas Alvin Simpson Jr. | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750539177 | Louis Hamilton Vanslyke | Radiology | 6765 Golf Course Rd, Rome, NY 13440-7547 | 2008-08-28 |
| 1609034388 | James M Terzian | Radiology | 901 N Broad St Ne Ste 120, Rome, GA 30161-5202 | 2008-05-29 |
| 1922084474 | Eddie Salvatore Fiore | Radiology | Via Cortina D'ampezzo 57, Rome, NOT APPLICABLE 00135 | 2005-12-16 |
| 1013356740 | Constantinos Theodoros Spyris | Radiology | 901 N Broad St Ne Ste 120, Rome, GA 30161-5202 | 2013-06-15 |
| 1538466115 | Mohawk Glen Radiology Associates of Cny Pllc | Radiology | 91 Perimeter Rd, Suite 110, Rome, NY 13441-4018 | 2011-02-17 |
| 1578880308 | Adams W Moore | Radiology | 901 N Broad St Ne, Suite 220, Rome, GA 30161-5201 | 2010-05-04 |
| 1679751606 | Daniel Gober | Radiology | 901 N Broad St Ne, Suite 220, Rome, GA 30161-5201 | 2008-01-31 |
| 1922299957 | Michael Paul Holcombe | Radiology | 901 N Broad St Ne, Suite 220, Rome, GA 30161-5207 | 2007-08-06 |
| 1265564975 | Rome Mri Associates | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2007-03-09 |
| 1801838867 | Matthew B Mcclain | Radiology | 255 W 5th St Sw, Suite 150, Rome, GA 30165-2817 | 2006-06-12 |
| Find all providers in ROME | ||||
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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.