DR. JERRY DARREL MARTIN (NPI# 1730142472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730142472 |
| Entity Type | Individual |
| Full Name | DR. JERRY DARREL MARTIN |
| Credential | MD |
| Practice Address |
129 Medical Park Lane Huntsville TX 77340 |
| Practice Telephone | 9362913459 |
| Practice Fax Number | 9362940027 |
| Mailing Telephone | 9362913459 |
| Mailing Fax Number | 9362940027 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MDF1778 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 114477604 | 05 | |
| TX | BC | 00252T | 01 |
| TX | MCRR | 20044235 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1821415571 | Jerry Nell Martin | Registered Nurse | 531 David W Ray Dr, Georgetown, SC 29440-6693 | 2014-03-19 |
| 1437240157 | Jerry H. Martin | Dentist | 4150 Douglas Blvd, # A, Granite Bay, CA 95746-5964 | 2006-09-27 |
| 1235239344 | Jerry D Martin | Dentist | 418 W. Monroe Ave., Chester, MT 59522-0516 | 2006-09-25 |
| 1992730832 | Jerry Wayne Martin | Family Medicine | 338 Gay Street, Suite A, Washington, VA 22747-0269 | 2006-07-11 |
| 1336112549 | Jerry L. Martin | Physician Assistant | 150 Page Rd, Robins Afb, GA 31098-1600 | 2006-02-08 |
| 1679543821 | Jerry Lee Martin | Optometrist | 1745 W Avenue K, Lancaster, CA 93534-6502 | 2006-01-23 |
| 1831184332 | Jerry K Martin Jr. | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2005-09-12 |
| 1083064562 | Jerry Martin | Counselor | 4411 N Cedar Ave Ste 108, Fresno, CA 93726-2538 | 2016-06-15 |
| 1013172733 | Jerry Vann Martin | Emergency Medicine | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 | 2008-07-22 |
| Street Address |
129 MEDICAL PARK LANE |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376506485 | Huntsville Orthopedic Surgery | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340 | 2006-04-10 |
| 1780812321 | John A Tanksley Jr. | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340-4940 | 2009-06-22 |
| 1477516292 | Jesse Scott Ward | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340 | 2006-04-11 |
| 1023071859 | Dalton David Heath | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184642977 | Brett M Franklin | Orthopaedic Surgery | 4715 Whitesburg Drive, Huntsville, AL 35802-1632 | 2006-07-18 |
| 1376506485 | Huntsville Orthopedic Surgery | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340 | 2006-04-10 |
| 1790746923 | Gilbert M Aust Jr. | Orthopaedic Surgery | 717 Adams St Se, Huntsville, AL 35801-3700 | 2006-03-29 |
| 1437128188 | Steven L Buckley | Orthopaedic Surgery | 927 Franklin St, Huntsville, AL 35801 | 2006-03-15 |
| 1366422727 | Matthew J Deorio | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2006-01-20 |
| 1619480233 | Kristin Leann Torbic | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2017-11-06 |
| 1700143856 | Murray Dale Spruiell | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801 | 2012-04-13 |
| 1033438825 | James Turner Hughey IIi | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2010-05-19 |
| 1285962852 | Matthew Daniel Clayton | Orthopaedic Surgery | 4715 Whitesburg Dr Se, Huntsville, AL 35802 | 2009-11-19 |
| 1780812321 | John A Tanksley Jr. | Orthopaedic Surgery | 129 Medical Park Lane, Huntsville, TX 77340-4940 | 2009-06-22 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
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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.