GARY MARTIN


Address: 811 Grier Dr, Las Vegas, NV 89119-3704
Phone: 8007790526

GARY MARTIN (NPI# 1689818064) 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) 1689818064
Entity Type Individual
Full Name GARY MARTIN
Credential IDMT
Practice Address 811 Grier Dr
Las Vegas
NV 89119-3704
Mailing Address Po Box 19070
Las Vegas
NV 89132-0070
Practice Telephone 8007790526
Enumeration Date 2009-04-29
Last Update Date 2009-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers GARY MARTIN

NPI Name Taxonomy Address Enumeration
1801927843 Gary Martin Pharmacist 242 W Shamrock St, Building 1, Pineville, LA 71360 2007-03-09
1679507081 Gary Christopher Martin Dentist 3101 Edwards Mill Rd Ste 109, Raleigh, NC 27612-5303 2006-07-10
1174579841 Gary S. Martin Chiropractor 3499 Duluth Park Ln, Suite 110, Duluth, GA 30096-5714 2006-05-25
1982692257 Gary A Martin Psychologist 916 W Seldon Ln, Phoenix, AZ 85021-4450 2005-10-11
1912063447 Gary Roy Martin Psychologist 1 Pine St, Burlington, VT 05401-4422 2006-12-29
1326126673 Gary Dewayne Martin Jr. Chiropractor 14444 Dallas Pkwy, Suite 115, Dallas, TX 75254-8304 2006-11-02
1295821767 Gary Victor Martin Internal Medicine 1660 S Columbian Way, Seattle, WA 98108-1532 2006-10-04
1689779381 Gary L Martin Nurse Anesthetist, Certified Registered 3500 E Frank Phillips Blvd, Jpmc Anesthesia Dept, Bartlesville, OK 74006-2411 2006-09-14
1609970730 Gary Paul Martin Dentist 605 E 4th St, Marshfield, WI 54449-4519 2006-09-11
1356359756 Gary Martin Internal Medicine 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 2006-08-03

Office Location

Street Address 811 GRIER DR
City LAS VEGAS
State NV
Zip Code 89119-3704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962494484 Maximilian Samuel Lee Emergency Medicine 811 Grier Dr, Las Vegas, NV 89119-3704 2005-08-19
1518197078 Tanya Lane Hatfield Military Health Care Provider 811 Grier Dr, Suite B, Las Vegas, NV 89119-3704 2009-07-19
1912141011 George Steven Cum Military Health Care Provider 811 Grier Dr, Las Vegas, NV 89119-3704 2009-04-21
1124203500 Scott Swingle Physician Assistant 811 Grier Dr, Las Vegas, NV 89119-3704 2008-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669089298 Jennifer Chavon Cruse Technician [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 2020-09-28
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1720697980 Christian Scott Social Worker 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1215562376 Phyllis Eberechukwu Hunt Adult Companion 5160 Tamarus St Appt 17, Las Vegas, NV 89119 2020-03-10
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 2019-10-09
1083260046 Araceli Rosas Vargas Technician 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-15
1376197707 Bristure Clayton Technician Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-07-24
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033607478 Steven Correa Military Health Care Provider 4700 Las Vegas Blvd N # 1300, Las Vegas, NV 89191-6600 2018-05-01
1518483320 Jessica Ann Ewers Military Health Care Provider 8701 W Gilmore Ave, Las Vegas, NV 89129-7687 2017-08-15
1306175096 Ta'wana L Jones Military Health Care Provider 1900 Las Vegas Blvd, Las Vegas, NV 89110 2009-12-09
1225263072 Adrienne L Clark Military Health Care Provider 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 2009-05-22
1346483500 Brandy R Williams Military Health Care Provider 9303 Gilcrease Ave, Unit 1207, Las Vegas, NV 89149-0199 2009-04-16
1528604758 Nicholas Brown Dyches Military Health Care Provider 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 2019-11-22
1235637000 Jeffrey Allen Villalpando Military Health Care Provider 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 2018-01-26
1598190878 Jonathan Christian Gomez Military Health Care Provider 4311 Carswell Ave, Bldg 340, Las Vegas, NV 89191-7069 2013-09-05
1043554462 Ryan Mosiah King Military Health Care Provider 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 2012-11-26
1588914295 Jill S Dowd Military Health Care Provider 4700 North Las Vegas Blvd, Las Vegas, NV 89115 2012-09-11
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Competitor

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City LAS VEGAS
Zip Code 89119

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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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