KENNETH ALAN MARTIN (NPI# 1740543024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740543024 |
| Entity Type | Individual |
| Full Name | KENNETH ALAN MARTIN |
| Credential | DO |
| Practice Address |
401 Matthew St Emergency Department Marietta OH 45750-1635 |
| Mailing Address |
401 Matthew St Emergency Department Marietta OH 45750 |
| Practice Telephone | 7403741400 |
| Mailing Telephone | 7403761939 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 3098 | WV | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 34011850 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0129985 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 122 Pinnell St, Emergency Department, Ripley, WV 25271 | 3043722731 | |
| 799 Farson St, Emergency Department, Belpre, OH 45714 | 7404011150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232579 | Kenneth Martin | Technician | 138 Ivy Rd, Lerona, WV 25971 | 2020-10-09 |
| 1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
| 1578122065 | Kenneth Kevin Martin | Pharmacist | 700 Scott and White Dr # 1.112, College Station, TX 77845-6441 | 2019-06-10 |
| 1598064677 | Kenneth Martin | Physician Assistant | 26 Edgerton Drive, North Falmouth, MA 02556 | 2011-03-15 |
| 1154475952 | Kenneth Michael Martin | Physical Therapist | 2700 Lake Villa Dr Ste 100, Metairie, LA 70002-6782 | 2007-01-22 |
| 1760557334 | Kenneth R. Martin | Dentist | 694 S Willow Ave, Cookeville, TN 38501-3882 | 2006-11-21 |
| 1093899007 | Kenneth Leon Martin | Counselor | 105 Paces Brook Ave, #10518, Columbia, SC 29212-1642 | 2006-10-25 |
| 1245261809 | Kenneth J Martin | Marriage & Family Therapist | 564 Market St, Suite 410, San Francisco, CA 94104-5404 | 2006-07-05 |
| 1093743858 | Kenneth Martin Jr. | Audiologist | 710 N High St, Longview, TX 75601-5330 | 2006-06-29 |
| 1699730689 | Kenneth Andrew Martin | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2006-04-20 |
| Street Address |
401 MATTHEW ST EMERGENCY DEPARTMENT |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922440 | Anthony V Goocey | Nurse Practitioner | 401 Matthew St, Emergency Dept, Marietta, OH 45750-1635 | 2005-06-14 |
| 1265046650 | Haley Pressley | Pharmacist | 401 Matthew St, Marietta, OH 45750-1635 | 2020-09-02 |
| 1609495811 | Tiffany Diane Rebholz | Respiratory Therapist, Registered | 401 Matthew St, Marietta, OH 45750-1699 | 2020-04-09 |
| 1316576903 | Pamela R Brearey | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-06 |
| 1053940155 | Spencer Ashcraft | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1447889464 | Shaun Mcmillin | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1528697505 | Raymond W Dobson | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1023647088 | Alyssa M Gates | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1013546076 | Elaine Stearney | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1205490919 | Justin Cole Lyttle | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2019-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| 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 |
|---|---|---|---|---|
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1679877286 | Lawrence James Dawson | Emergency Medicine | 3761 Lassiter Rd, Marietta, GA 30062-4121 | 2010-12-23 |
| 1447410600 | Jeremy Sebastian Nelson | Emergency Medicine | 2221 Bonniewood Dr, Marietta, GA 30064-3820 | 2008-06-11 |
| 1427233501 | Virginia Garrett Galvin | Emergency Medicine | 3772 Baccurate Way, Marietta, GA 30062-8708 | 2008-01-08 |
| 1184841082 | John Charles Meholic | Emergency Medicine | 4175 S Arbor Cir, Marietta, GA 30066-2278 | 2007-04-20 |
| 1982740643 | Albert G Lintel IIi | Emergency Medicine | 3747 Roswell Rd Ste 107, Marietta, GA 30062 | 2007-01-29 |
| 1134133747 | Gayle Galan | Emergency Medicine | 1106 Colegate Dr Emergency Dept, Marietta, OH 45750-1323 | 2006-07-28 |
| 1134143910 | Thomas L Haltom | Emergency Medicine | 1401 Johnson Ferry Rd, Suite 390, Marietta, GA 30062-6495 | 2006-07-26 |
| 1508894767 | Marlon Fisher | Emergency Medicine | 2913 Kings Walk Ave, Marietta, GA 30062-4503 | 2006-06-28 |
| Find all providers in MARIETTA | ||||
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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.