DR. MARK LEE MARTIN (NPI# 1689615973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689615973 |
| Entity Type | Individual |
| Full Name | DR. MARK LEE MARTIN |
| Credential | D.O. |
| Practice Address |
350 E Sarnia St Winona MN 55987-3803 |
| Practice Telephone | 5074540646 |
| Practice Fax Number | 5074521446 |
| Mailing Telephone | 5074540646 |
| Mailing Fax Number | 5074521446 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 31429 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 31429 | MN | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 31429 | MN | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
31429 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 826787100 | 05 | |
| MN | BLUE CROSS/BLUE SHIELD | 3M316MA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763004 | Mark Martin | Technician, Other | 3041 S Charlton Park Rd, Hastings, MI 49058-8806 | 2016-11-28 |
| 1295707859 | Mark A Martin | Family Medicine | 2112 Pineshore Ct, Evansville, IN 47711-4473 | 2006-02-07 |
| 1578031860 | Mark Martin | Perfusionist | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2018-11-05 |
| 1164916805 | Mark Martin | Counselor | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-06-17 |
| 1073023024 | Mark Martin | Social Worker | 1835 Gilmore Ave, Lakeland, FL 33805 | 2017-10-04 |
| 1952728347 | Mark Martin | Case Manager/Care Coordinator | 3612 Cuming St, Omaha, NE 68131-1952 | 2014-03-24 |
| 1447576103 | Mark J Martin | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2010-04-20 |
| 1346490695 | Mark Martin | Counselor | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2008-09-23 |
| 1982726436 | Mark Blair Martin | Dentist | 910 E Grand Ave, Escondido, CA 92025-3430 | 2007-04-04 |
| 1346300043 | Mark Kevin Martin | Recreation Therapist | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2006-12-11 |
| Street Address |
350 E SARNIA ST |
| City | WINONA |
| State | MN |
| Zip Code | 55987-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554735 | Kevin R Cappel | Physical Therapist | 350 E Sarnia St, Winona, MN 55987-3803 | 2006-01-30 |
| 1710248059 | Great River Chiropractic Pllc | Chiropractor | 350 E Sarnia St, Winona, MN 55987-3803 | 2012-06-04 |
| 1952660409 | Kathryn Lu Strangstalien | Chiropractor | 350 E Sarnia St, Winona, MN 55987-3803 | 2012-05-03 |
| 1326009713 | Erin Kathleen Alexander | Physical Therapist | 350 E Sarnia St, Winona, MN 55987-3803 | 2006-03-28 |
| 1881665701 | David W Echelmeyer | Physical Therapist | 350 E Sarnia St, Winona, MN 55987-3803 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774665 | Matthew James Timp | Physical Medicine & Rehabilitation | 2300 24th St Nw Ste 101, Bemidji, MN 56601-6656 | 2011-05-10 |
| 1679863773 | Pain Relief and Wellness of Minnesota | Physical Medicine & Rehabilitation | 4721 Clark Ave, White Bear Lake, MN 55110-3221 | 2011-04-11 |
| 1407174790 | Catherine Y Choi | Physical Medicine & Rehabilitation | 3580 Arcade Ste Ste 100, Vadnais Heights, MN 55127-7135 | 2010-05-11 |
| 1073788519 | Isaac Thomas Marsolek | Physical Medicine & Rehabilitation | 401 Phalen Blved, St Paul, MN 55130-5302 | 2008-04-25 |
| 1457325540 | Adam J Locketz | Physical Medicine & Rehabilitation | 7275 147th St W, Apple Valley, MN 55124-7808 | 2006-02-15 |
| 1548253933 | Advanced Spine Associates Pa | Physical Medicine & Rehabilitation | 8232 Highway 65 Ne, Spring Lake Park, MN 55432-2095 | 2005-08-31 |
| 1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
| 1194259978 | Allina Health System | Physical Medicine & Rehabilitation | 913 E 26th St, Ste 503, Minneapolis, MN 55404-4515 | 2017-04-18 |
| 1861866816 | Sipple Medical LLC | Physical Medicine & Rehabilitation | 2020 E 28th St, Suite 100, Minneapolis, MN 55407-1394 | 2015-11-13 |
| 1184044067 | Sakshi Kaul | Physical Medicine & Rehabilitation | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2014-04-18 |
| Find all providers with the same taxonomy | ||||
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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.