DR. GERALD MIKEL MARTIN (NPI# 1760570840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760570840 |
| Entity Type | Individual |
| Full Name | DR. GERALD MIKEL MARTIN |
| Credential | D.O. |
| Practice Address |
350 S 40th St Muskogee OK 74401-4915 |
| Practice Telephone | 9186830753 |
| Practice Fax Number | 9186875251 |
| Mailing Telephone | 9186830753 |
| Mailing Fax Number | 9186875251 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
1990 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100255710A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770014748 | Gerald S Martin | Nurse Practitioner | 98 Peach Ridge Rd, Anna, IL 62906-2243 | 2017-03-22 |
| 1538423918 | Gerald Wesley Martin | Pharmacist | 453 Wildwood Dr, Grand Junction, CO 81507-2505 | 2012-06-29 |
| 1881685725 | Gerald Thomas Martin | Dentist | 2012 N Main St, Shelbyville, TN 37160-2022 | 2005-10-31 |
| 1194713511 | Gerald B Martin | Internal Medicine | 64 S West St, Carlisle, PA 17013 | 2005-10-10 |
| 1871736215 | Gerald Jerome Martin | Student in an Organized Health Care Education/Training Program | 445 Ledyard St, Detroit, MI 48201-2641 | 2009-04-15 |
| 1871670869 | Gerald E Martin Jr. | Chiropractor | 840 W University Dr, Suite # 7, Mesa, AZ 85201-5529 | 2006-11-01 |
| 1194784009 | Gerald R Martin | Internal Medicine | 317 Chestnut St, Brevard, NC 28712-3898 | 2006-03-20 |
| Street Address |
350 S 40TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015027 | Roger Alan Nevling | Physician Assistant | 350 S 40th St, Muskogee, OK 74401-4915 | 2005-12-22 |
| 1003446451 | Ifeoma Nneka Mozie | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-23 |
| 1326678186 | Nelly Njaramba | Clinical Nurse Specialist | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-21 |
| 1710525019 | Mercy Ifeoma Ugwu | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-17 |
| 1760020606 | Tess Visitacion De Jesus | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-10 |
| 1386291037 | Marlo Annette Barnes-davis | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-08-19 |
| 1114490968 | Robert Lee Jones Jr. | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-01-04 |
| 1366914434 | Jennifer Lynn Adoh | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2018-12-29 |
| 1295248581 | Shellye Simmons | Registered Nurse | 350 S 40th St, Muskogee, OK 74401-4915 | 2017-11-09 |
| 1326575788 | Terri Lynn Rickerson | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2017-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
| 1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
| 1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
| 1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
| 1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
| 1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
| Find all providers with the same taxonomy | ||||
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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.