DAVID W MARTELL (NPI# 1700147501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700147501 |
| Entity Type | Individual |
| Full Name | DAVID W MARTELL |
| Credential | D.O. |
| Practice Address |
650 Huebner Rd Ft Riley KS 66442 |
| Mailing Address |
650 Huebner Rd Ft Riley KS 66442-4030 |
| Practice Telephone | 7852397000 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 05-41562 | KS | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
1088 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2921 Sw Wanamaker Dr, Topeka, KS 666145328 | 7852726860 | 7852725839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346548070 | David Albert Martell | Pharmacist | 5210 Oaklawn Blvd, Hopewell, VA 23860-7336 | 2011-03-04 |
| Street Address |
650 HUEBNER RD |
| City | FT RILEY |
| State | KS |
| Zip Code | 66442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023305 | Zachary Moore | Audiologist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-11-04 |
| 1861092041 | Kimberly Cavanagh | Registered Nurse | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-10-28 |
| 1437769395 | Suzanne Webb Cobleigh | Nurse Practitioner | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-08-05 |
| 1669081105 | Kimberly Dunaway | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-07-30 |
| 1912516089 | David Henry Hatesohl | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-07-24 |
| 1780124750 | Lori Fortin | Dietitian, Registered | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2017-02-24 |
| 1881076644 | Adam Christopher Henderson | Family Medicine | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2015-06-29 |
| 1588043822 | Lisa Sorell | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2015-05-19 |
| 1174936207 | Rey Agatep | Pediatrics | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2014-06-06 |
| 1780026807 | Kegan Mosier | Counselor | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1306392915 | Tiffany Sapp | Dental Assistant | 7670 Estes Rd, Ft. Riley, KS 66442 | 2016-09-01 |
| 1326594938 | Kamilla Evans | Dental Assistant | Building 7670 Estes Road, Apo, AA 66442 | 2016-09-01 |
| 1073970547 | Raymond Justin Myles Jr. | Psychologist | 609a Warrior Road, Fort Riley, KS 66442 | 2016-01-28 |
| 1669864096 | Luann Underwood | Counselor | 7424 Apennines Drive, Army Substance Abuse Program, Fort Riley, KS 66442 | 2015-02-23 |
| 1043622954 | Daniel K. Schuerch | Social Worker | 650 Huebner Rd Ofc 4b183, Fort Riley, KS 66442 | 2014-05-27 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1770905812 | Caryn Deborah Wayne | Physician Assistant | Fort Riley, Apo, AA 66442 | 2014-01-08 |
| Find all providers in zip 66442 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615648 | Lori E Falcone | Dermatology | 1121 N College Park St Ste 400, Derby, KS 67037-3667 | 2020-10-06 |
| 1710444500 | Epiphany Dermatology of Kansas, LLC | Dermatology | 10600 Quivira Rd Ste 430, Overland Park, KS 66215-2312 | 2019-02-27 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1346618220 | Tara Gillespie | Dermatology | 2707 Vine St Ste 10, Hays, KS 67601-1908 | 2015-09-09 |
| 1295072163 | Bernard James Melia Jr. | Dermatology | 5418 W 100th St, Overland Park, KS 66207-3116 | 2013-01-11 |
| 1134481831 | Johanna Suzanne Peterson | Dermatology | 3901 Rainbow Blvd. 6040 Delp, Ms1020, Division of General and Geriatric Medicine, University, Kansas City, KS 66160-0001 | 2012-06-09 |
| 1780950352 | Jacqueline Margaret Youtsos | Dermatology | 2425 Bradshaw Way, Pittsburg, KS 66762-6600 | 2012-03-28 |
| 1760709679 | Lauren Ann Kyle Tkachuk | Dermatology | 7840 W 165th St Ste 260, Overland Park, KS 66223-3020 | 2010-05-02 |
| 1639494198 | Anand Rajpara | Dermatology | 3901 Rainbow Blvd # Ms 2025, Kansas City, KS 66160 | 2010-03-28 |
| 1578792776 | Tracy Michelle Katz | Dermatology | Ms 2025 4009 Wescoe, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2009-07-08 |
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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.