IRVIN L. MARTIN III MD PLLC (NPI# 1679909774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679909774 |
| Entity Type | Organization |
| Organization Name | IRVIN L. MARTIN III MD PLLC |
| Practice Address |
1800 12th St Ste 1e Meridian MS 39301-4158 |
| Mailing Address |
Po Box 1868 Meridian MS 39302-1868 |
| Practice Telephone | 6017039231 |
| Practice Fax Number | 6017034352 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017034597 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | IRVIN L MARTIN (OWNER) |
| Authorized Official Telephone | 6017039231 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1800 12TH ST STE 1E |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1821006289 | Jared P Tadje | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2006-08-03 |
| 1275578908 | Edwin Merle Clark | Orthopaedic Surgery | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2006-06-17 |
| 1720027311 | Kyle L Palmer | Orthopaedic Surgery | 3875 East Overland Road, Meridian, ID 83642 | 2006-06-06 |
| 1871589994 | John William Cope | Orthopaedic Surgery | 8310 Eagle Pointe Dr, Meridian, MS 39305-9185 | 2005-09-23 |
| 1730182007 | Harry Durgin | Orthopaedic Surgery | 2024 15th St, Ste 4n, Meridian, MS 39301-4130 | 2005-05-31 |
| 1336747120 | Mikayla Lynn Taugher | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2020-10-13 |
| 1245778208 | Direct Orthopedic Care LLC | Orthopaedic Surgery | 3015 E Magic View Dr, Ste 115, Meridian, ID 83642-3757 | 2017-02-09 |
| 1760840987 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 3015 E Magic View Dr, Suite 120, Meridian, ID 83642-3743 | 2016-02-02 |
| 1356719108 | Tadje Orthopaedics, LLC | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2015-09-10 |
| 1497199020 | Edward Lee Smith | Orthopaedic Surgery | 1800 12th St, Meridian, MS 39301-4158 | 2013-04-25 |
| Find all providers in MERIDIAN | ||||
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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.