MICHAEL A MARTINELLI (NPI# 1699119982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699119982 |
Entity Type | Individual |
Full Name | MICHAEL A MARTINELLI |
Credential | M.D. |
Practice Address |
450 Northside Cherokee Blvd Canton GA 30115-8015 |
Mailing Address |
24 Hospital Ave Danbury CT 06810-6099 |
Practice Telephone | 7702241388 |
Practice Fax Number | 7702241386 |
Mailing Telephone | 2037396959 |
Enumeration Date | 2013-04-17 |
Last Update Date | 2020-11-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 054543 | CT | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 054543 | CT | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
24 Hospital Ave, Danbury, CT 068106099 | 2037396959 | 2037396495 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366488017 | Michael Paul Martinelli | Physician Assistant | 2701 North Decatur Road, Decatur, GA 30033 | 2006-06-21 |
1821096983 | Michael J. Martinelli | Internal Medicine | 2 Palisades Dr, Albany, NY 12205 | 2005-07-12 |
Street Address |
450 NORTHSIDE CHEROKEE BLVD |
City | CANTON |
State | GA |
Zip Code | 30115-8015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295732600 | Paul J Hyler | Internal Medicine | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2005-06-30 |
1790390706 | Bradley Louis Mccoul | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-09-15 |
1164035747 | Candice Caroline Bramlett | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-25 |
1336751494 | Kalum Leiba | Anesthesiologist Assistant | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-20 |
1093339533 | Tara Talbott Oberman | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-06-01 |
1568085157 | Ross W Devantier | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-19 |
1427679034 | Joseph Liverman | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-05 |
1518595503 | Erica D Burns | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-03-27 |
1093346066 | Emily Beecher | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-01-29 |
1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
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Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
1326424805 | Vishnu Sai LLC | Internal Medicine | 6672 List St Nw, Canton, OH 44708-6419 | 2015-08-06 |
1619350501 | Ohio Pulmonary and Sleep Physicians LLC | Internal Medicine | 1445 Harrison Ave Nw Ste 101, Canton, OH 44708-2628 | 2015-07-09 |
1073932414 | Christina Powers | Internal Medicine | 470 Northside Cherokee Blvd, Ste 380, Canton, GA 30115-8015 | 2014-04-14 |
1083054902 | Umayr Azimi | Internal Medicine | 44237 Michigan Ave, Canton, MI 48188-2866 | 2013-06-25 |
1356699896 | John Anthony Ziolo | Internal Medicine | 141 Wedgewood Falls Dr, Canton, GA 30114-8928 | 2012-08-15 |
1437414018 | Wassim Chehouri | Internal Medicine | 1988 Elmhurst St, Canton, MI 48187-3119 | 2012-07-10 |
1790078624 | Jacklyn L Quade | Internal Medicine | 1051 N Canton Center Road, Canton, MI 48187-5097 | 2011-05-25 |
1679875892 | Sourabh Prabhakar | Internal Medicine | 2600 Sixth St Sw Ste A2-710, Canton, OH 44710-1702 | 2010-11-19 |
1033341060 | Zahoorul Hassan | Internal Medicine | 40592 Tamarack Dr, Apt#204, Canton, MI 48188-2828 | 2009-08-09 |
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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.