DR. HEATHER M MARTIN (NPI# 1760610638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760610638 |
| Entity Type | Individual |
| Full Name | DR. HEATHER M MARTIN |
| Credential | D.O. |
| Practice Address |
102 S Charles G Seivers Blvd Clinton TN 37716-3916 |
| Practice Telephone | 8654574702 |
| Practice Fax Number | 8654577178 |
| Mailing Telephone | 8654574702 |
| Mailing Fax Number | 8654577178 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3334 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 12480 | ND | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 003877 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 17482 | 05 | |
| TN | Q033050 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2615 Fairway St, Dickinson, ND 586012590 | 7014566000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
| 1912480807 | Heather Hilda Martin | Registered Nurse | 8573 Steamline Cir, Austin, TX 78745-8088 | 2018-09-07 |
| 1942781778 | Heather Martin | Specialist/Technologist | 152 Porters Bridge Rd, Colora, MD 21917-1037 | 2018-08-29 |
| 1750808069 | Heather A. Martin | Nurse Practitioner | 904 E Race Ave, Searcy, AR 72143-4653 | 2017-08-28 |
| 1538685904 | Heather Martin | Behavioral Analyst | 227 Rogers Ave, West Springfield, MA 01089-1921 | 2017-08-17 |
| 1619329893 | Heather Lynne Martin | Audiologist | 2825 Forest Dr, Bryant, AR 72022-9025 | 2016-07-12 |
| 1114396413 | Heather Marie Martin | Psychologist | 19190 Kinloch, Redford, MI 48240-2602 | 2015-09-17 |
| 1447628466 | Heather Martin | Specialist/Technologist | 42228 Jefferson Dr, Hammond, LA 70403-2158 | 2015-09-08 |
| 1922496025 | Heather Martin | Registered Nurse | 8069 Kensington Blvd Bldg Apt 433, Davison, MI 48423-2275 | 2014-12-26 |
| 1619372638 | Heather Diana Martin | Counselor | 1170a E Gannon Dr, Festus, MO 63028-2636 | 2014-11-03 |
| Street Address |
102 S CHARLES G SEIVERS BLVD |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-3916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021981 | Wendy Noelle May | Family Medicine | 102 S Charles G Seivers Blvd, Clinton, TN 37716-3916 | 2005-11-28 |
| 1053845545 | Gonzalo Rafael De Villa | Family Medicine | 102 S Charles G Seivers Blvd, Clinton, TN 37716-3916 | 2017-04-12 |
| 1356607337 | Sasha Brooke Lucas | Family Medicine | 102 S Charles G Seivers Blvd, Clinton, TN 37716 | 2012-04-04 |
| 1447433750 | Karen R Whalen | Nurse Practitioner | 102 S Charles G Seivers Blvd, Clinton, TN 37716-3916 | 2007-12-10 |
| 1346286218 | Joseph David Damewood | Nurse Practitioner | 102 S Charles G Seivers Blvd, Clinton, TN 37716-3916 | 2006-06-21 |
| 1710960356 | William Culbert | Family Medicine | 102 S Charles G Seivers Blvd, Clinton, TN 37716-3916 | 2005-11-29 |
| 1013990654 | Jose J Malagon | Family Medicine | 102 S Charles G Seivers Blvd, Clinton, TN 37716-3916 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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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.