MR. NOEL ANTONIO MARTINEZ (NPI# 1699060525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699060525 |
| Entity Type | Individual |
| Full Name | MR. NOEL ANTONIO MARTINEZ |
| Credential | IDC |
| Practice Address |
2104 Massey Ave Jacksonville FL 32228-0148 |
| Practice Telephone | 9042704474 |
| Mailing Telephone | 9042704474 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437482387 | Noel A. Martinez Jr. | Speech-Language Pathologist | 1900 S. Jackson, Ste. 2 & 3, Mcallen, TX 78503 | 2009-09-10 |
| Street Address |
2104 MASSEY AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32228-0148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982141057 | Eduardo Corvison | Registered Nurse | 2104 Massey Ave, Nbhc Naval Station Mayport, Jacksonville, FL 32228-0148 | 2017-01-26 |
| 1336681337 | Justin Hoblet | Physical Therapist | 2104 Massey Ave, Jacksonville, FL 32228 | 2016-11-08 |
| 1548552201 | Wasim S Mohamed | Military Health Care Provider | 2104 Massey Ave, Jacksonville, FL 32228-0148 | 2011-05-12 |
| 1942512231 | Derrick Lavar Raysor | Military Health Care Provider | 2104 Massey Ave, Jacksonville, FL 32228 | 2010-07-02 |
| 1003057324 | Laurie Ann Bohler | Pharmacy Technician | 2104 Massey Ave, Branch Medical Clinic Nas Mayport, Jacksonville, FL 32224 | 2009-03-17 |
| 1962661363 | Gerald Derand Jackson | Military Health Care Provider | 2104 Massey Ave, Jacksonville, FL 32228 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1871950667 | Julie Nicole Boisen | General Practice | Bldg 1320, Waterfront Medical, Mayport, FL 32228 | 2016-01-25 |
| 1134594245 | Luis Figueroa | Military Health Care Provider | Lcsron Two, 2480 Bonhomme Richard St, Jacksonville, FL 32228 | 2015-12-01 |
| 1790154813 | Franklin Paul Mccullough | Military Health Care Provider | Bon Homme St Bldg 2480, Jacksonville, FL 32228 | 2015-09-18 |
| 1932512498 | Mayport Refill Pharmacy | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 | 2014-06-03 |
| 1366863102 | Clayton Pascik | Military Health Care Provider | Bldg 1488 Massey Ave., Jacksonville, FL 32228 | 2013-12-20 |
| 1104267533 | Joshua Israel Keil | Optometrist | Building 2104 Massey Avenue, Nas Mayport, FL 32228 | 2013-07-15 |
| 1588907042 | Devon Schefano | Military Health Care Provider | 1204 Massey Ave, Mayport, FL 32228 | 2013-04-03 |
| 1851686554 | Philip M Yam | Psychiatry & Neurology | Cnss-14, Mrd Bld 1320, Mayport Naval Station, Jacksonville, FL 32228 | 2011-06-10 |
| Find all providers in zip 32228 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1285179077 | Bill Lee Todd Davis | Military Health Care Provider | 1151 Murrill Hill Rd, Jacksonville, NC 28540-8662 | 2017-01-03 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1659727444 | Michael Phoenix Mcfarland | Military Health Care Provider | 898 Enterprise St Unit A, Jacksonville, FL 32227-1202 | 2016-05-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32228 |
Please comment or provide details below to improve the information on MR. NOEL ANTONIO MARTINEZ.
| 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.