STEVEN DOUGLAS MARTIN (NPI# 1811995558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811995558 |
| Entity Type | Individual |
| Full Name | STEVEN DOUGLAS MARTIN |
| Other Name | STEVE DOUGLAS MARTIN |
| Credential | APRN |
| Practice Address |
1 Medical Village Drive Edgewood KY 41017-3403 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593012000 |
| Practice Fax Number | 8594264140 |
| Mailing Telephone | 8594260800 |
| Mailing Fax Number | 8594264140 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3002999 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 07307 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-07307 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE | 0369211 | 01 |
| KY | MEDICARE | 0562617 | 01 |
| KY | MEDICARE | 0369017 | 01 |
| OH | CARESOURCE | 611300608058 | 01 |
| KY | 78003274 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1518149913 | Steven Richard Martin | Pharmacist | 5417 Ne 138th Ave, Portland, OR 97230 | 2007-11-28 |
| 1679793087 | Steven John Martin | Occupational Therapist | 425 Jackson Pike, Gallipolis, OH 45631-1348 | 2007-04-26 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1184714339 | Steven Douglas Martin | Dentist | 1495 Alpharetta Hwy, Suite J, Alpharetta, GA 30004-2077 | 2006-10-16 |
| 1154723971 | Steven Martin | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2014-09-24 |
| 1891137600 | Steven M Martin | Pharmacist | 150 Broad St, Hamilton, NY 13346-9575 | 2013-07-22 |
| 1548517519 | Steven P Martin | Registered Nurse | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2012-08-09 |
| 1992063663 | Steven M Martin | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2012-05-01 |
| 1013126952 | Steven J Martin | Pharmacist | 2801 W Bancroft St, Toledo, OH 43606-3328 | 2007-05-21 |
| Street Address |
1 MEDICAL VILLAGE DRIVE |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619426681 | Meredith Medeyinlo | Nurse Practitioner | 1 Medical Village Drive, Edgewood, KY 41017 | 2016-09-30 |
| 1629424619 | Jennifer Bowling | Nurse Practitioner | 1 Medical Village Drive, Edgewood, KY 41017-3403 | 2016-05-09 |
| 1326457243 | Lynnette Carol Chasteen | Nurse Practitioner | 1 Medical Village Drive, Edgewood, KY 41017-3403 | 2014-08-05 |
| 1992051395 | Deema Alkapalan | Pathology | 1 Medical Village Drive, Edgewood, KY 41017 | 2012-08-03 |
| 1043524895 | Delia G Monroe | Nurse Practitioner | 1 Medical Village Drive, Edgewood, KY 41017-3403 | 2010-08-04 |
| 1750609053 | Jeremy D Hart | Pathology | 1 Medical Village Drive, Edgewood, KY 41017 | 2010-05-11 |
| 1649419912 | Julie Ann Gallatin | Registered Nurse | 1 Medical Village Drive, Edgewood, KY 41017 | 2009-02-11 |
| 1679744692 | John Giordullo | Pharmacist | 1 Medical Village Drive, Pharmacy, Edgewood, KY 41017 | 2008-03-18 |
| 1922284660 | Angela Tennant | Nurse Practitioner | 1 Medical Village Drive, Edgewood, KY 41017 | 2008-01-11 |
| 1396931796 | Kathleen D Allen | Nurse Practitioner | 1 Medical Village Drive, Nicu, Edgewood, KY 41017 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477652 | Best Choice Healthcare Services | Nurse Practitioner | 500 Edgewood Rd Ste 210, Edgewood, MD 21040-2734 | 2020-11-05 |
| 1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
| 1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
| 1043821085 | David Thomas Tackett | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-08-13 |
| 1104443480 | Jessica Mollmann | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-02 |
| 1174147458 | Allison M Dorman | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2020-06-03 |
| 1669096137 | Karle Ann Miller | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2020-06-01 |
| 1144859208 | Jane Nordman | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-04-02 |
| 1245866888 | Annalee Fitzpatrick | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-03-16 |
| 1063047975 | Ashley Nicole Pope | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-03-11 |
| Find all providers in EDGEWOOD | ||||
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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.