DR. JEFFERY MERLE MARTIN (NPI# 1811949563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811949563 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY MERLE MARTIN |
| Credential | M.D. |
| Practice Address |
901 E Willetta St Room 2503 Phoenix AZ 85006-2727 |
| Mailing Address |
37 W Sierra Vista Dr Phoenix AZ 85013-1200 |
| Practice Telephone | 6022395166 |
| Practice Fax Number | 6022392307 |
| Mailing Telephone | 6029578767 |
| Mailing Fax Number | 6022655489 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
28341 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776851 | Jeffery Martin | Driver | 348 Cemetery Rd, Pennington Gap, VA 24277-1526 | 2017-08-17 |
| 1700284916 | Jeffery Scott Martin | Psychologist | 1025 Femoyer St Bldg 10908, Jbsa Lackland, TX 78236 | 2014-12-22 |
| 1518080787 | Jeffery D. Martin | Dentist | 91 N Saginaw St, Pontiac, MI 48342-2165 | 2007-04-10 |
| 1699759860 | Jeffery L Martin | Family Medicine | 406 Ames St, Baldwin City, KS 66006-3099 | 2005-12-01 |
| 1801109640 | Jeffery Chad Martin | Orthopaedic Surgery | 410 N State of Franklin Rd Ste 140, Johnson City, TN 37604-6972 | 2010-07-21 |
| 1558400739 | Jeffery R. Martin | Psychologist | 1010 Sir Francis Drake Blvd, Suite 2e, Kentfield, CA 94904-1417 | 2007-02-05 |
| 1578531125 | Jeffery Scott Martin | Surgery | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-09 |
| Street Address |
901 E WILLETTA ST ROOM 2503 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868272 | Geri R Hall | Clinical Nurse Specialist | 901 E Willetta St, Phoenix, AZ 85003 | 2005-08-18 |
| 1841702743 | Michelle James | Clinical Neuropsychologist | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2017-10-31 |
| 1730624701 | Alisson Gilbert | Nurse Practitioner | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2016-12-30 |
| 1558813469 | Edwina Carrion-loucks | Social Worker | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2016-10-26 |
| 1215322847 | Jacquelynn Nicosia Copeland | Clinical Neuropsychologist | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2015-03-31 |
| 1265749824 | Susan C Favaro | Social Worker | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2010-09-02 |
| 1952532475 | Po-heng Tsai | Psychiatry & Neurology | 901 E Willetta St, Phoenix, AZ 85006 | 2009-07-31 |
| 1558575035 | James Seward | Clinical Neuropsychologist | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2007-05-10 |
| 1992929624 | Allison Leigh Perrin | Internal Medicine | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2007-04-12 |
| 1780625210 | Michael John Lang | Pediatrics | 901 E Willetta St, Ste 2503, Phoenix, AZ 85006-2727 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245490754 | Harriet Nkhwanjiwa Banda | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2008-06-10 |
| 1841469046 | Suma P Rao | Pediatrics | 901 E Willetta St Ste 2503, Phoenix, AZ 85006-2727 | 2008-02-21 |
| 1861509465 | Zahi Haidar-ahmad | Pediatrics | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2006-08-23 |
| 1356333660 | Pranav Patel | Pediatrics | 4722 N 24th St, Suite 150, Phoenix, AZ 85016-4800 | 2005-08-22 |
| 1962926584 | Audrey Ann Nervig | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2017-07-26 |
| 1295138691 | Sheridan Childrens Healthcare Services of Arizona, Inc. | Pediatrics | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2014-09-30 |
| 1225440258 | Jennifer Weber | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2014-05-26 |
| 1063823078 | Soumini Chintala | Pediatrics | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2014-05-13 |
| 1508277708 | Jessica Wickland | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-05-11 |
| 1912331109 | Anshul Arora | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2013-08-24 |
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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.