DR. JEFFREY WAYNE MARTIN (NPI# 1699709428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699709428 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY WAYNE MARTIN |
| Credential | M.D. |
| Practice Address |
907 E Lamar Alexander Pkwy Maryville TN 37804-5015 |
| Mailing Address |
14 Market Sq Ste 201 Knoxville TN 37902-1424 |
| Practice Telephone | 8659837211 |
| Mailing Telephone | 8659199696 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 49856 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 4040054 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164085296 | Jeffrey Martin | Specialist | 8876 Vintage Park Dr # 1158876, Sacramento, CA 95828-5893 | 2019-04-15 |
| 1508281064 | Jeffrey Steven Martin | Psychologist | 300 Palmer Ln, Charlotte, VT 05445-4410 | 2014-02-20 |
| 1467887588 | Jeffrey G Martin | Licensed Practical Nurse | 55 Caroline St, Albion, NY 14411-1020 | 2013-09-09 |
| 1285072074 | Jeffrey Eugene Martin | Physical Therapist | 10415 Lackman Rd, Lenexa, KS 66219-1221 | 2013-06-13 |
| 1720303571 | Jeffrey B Martin | Dentist | 825 Twelve Bridges Dr, Suite 55, Lincoln, CA 95648-8813 | 2010-04-05 |
| 1871725812 | Jeffrey Martin | Dentist | 1960 25th Ave Ste 101, Vero Beach, FL 32960-3015 | 2009-08-10 |
| 1740303445 | Jeffrey Todd Martin | Dentist | 2700 Coltsgate Rd., Ste. #100, Charlotte, NC 28211-3799 | 2007-04-09 |
| 1518081058 | Jeffrey Fred Martin | Optometrist | 2644 E Broadway Blvd, Tucson, AZ 85716-5306 | 2007-03-19 |
| 1407988645 | Jeffrey Ulmer Martin | Dentist | 6 N Lexington Ave, Havertown, PA 19083-5002 | 2007-03-12 |
| 1952446080 | Jeffrey Dean Martin | Family Medicine | North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 | 2007-02-20 |
| Street Address |
907 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023004363 | Blount Memorial Hospital, Inc. | Home Infusion | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2005-09-22 |
| 1023617842 | Katherine Jeanne Talmont | Radiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2020-10-22 |
| 1639791643 | Susie Danielle Clerge | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 | 2020-05-13 |
| 1992331433 | Blount Radiation Oncology Associates, Pllc | Radiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2020-03-17 |
| 1679122071 | Jody M Hinton | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2019-09-09 |
| 1750936076 | Danielle Stephanie Vittatoe | Registered Nurse | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 | 2019-08-04 |
| 1962907709 | John-michael Eric Galbraith | Physician Assistant | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2018-03-26 |
| 1134622418 | Kelli Morrison | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2018-03-13 |
| 1205345378 | Margaret C Saunders | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2017-09-21 |
| 1023532215 | Dalya Tobea Frank | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2017-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1407299126 | Jeffrey Allyn Hassenflug | Emergency Medicine | 2081 Briarbend Ct, Maryville, IL 62062-5833 | 2013-04-11 |
| 1598841025 | Haresh K Motwani | Emergency Medicine | 2133 Vadalabene Dr, Suite # 5b, Maryville, IL 62062-5839 | 2006-10-27 |
| 1710910211 | Samuel Burch Cheek Jr. | Emergency Medicine | 427 Broadmoor Dr, Maryville, TN 37803-6583 | 2006-07-08 |
| 1821065764 | Michael E Mandis | Emergency Medicine | 2236 Vadalabene Dr, Suite 2, Maryville, IL 62062-5844 | 2006-02-28 |
| 1760465165 | Peter B Malench | Emergency Medicine | 10 Professional Park Dr, Maryville, IL 62062-5672 | 2005-11-21 |
| 1588666804 | Legatus Emergency Services LLC | Emergency Medicine | 6800 State Route 162, Maryville, IL 62062-8500 | 2005-06-01 |
| 1679990733 | Emergency Practice Associates, Inc. | Emergency Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2014-03-26 |
| 1891006771 | Ryan Neal Joshi | Emergency Medicine | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2010-06-25 |
| 1255503587 | Lisa Parke Maier | Emergency Medicine | 6800 State Route 162, Department of Emergency Medicine, Maryville, IL 62062-8500 | 2008-03-27 |
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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.