VICTOR M. MARTINEZ (NPI# 1821269218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821269218 |
Entity Type | Organization |
Organization Name | VICTOR M. MARTINEZ |
Other Organization Name | AMA ORTHOPEDIC SHOES |
Practice Address |
3127 W 63rd St Chicago IL 60629-2719 |
Practice Telephone | 7739254184 |
Practice Fax Number | 7739254134 |
Mailing Telephone | 7739254184 |
Mailing Fax Number | 7739254134 |
Enumeration Date | 2008-03-13 |
Last Update Date | 2008-03-13 |
Authorized Official Name | MR. VICTOR M MARTINEZ (OWNER) |
Authorized Official Telephone | 7739254184 |
Authorized Official Credential | CERTIFIED PEDORT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | IL | Suppliers |
Other Name | Type Code |
---|---|
Ama Orthopedic Shoes | Doing Business As Name - Organization |
Street Address |
3127 W 63RD ST |
City | CHICAGO |
State | IL |
Zip Code | 60629-2719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316978760 | Victor M Martinez | Contractor | 3127 W 63rd St, Chicago, IL 60629-2719 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
Find all providers in zip 60629 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
1801358734 | Dionne Williams | Prosthetic/Orthotic Supplier | 1130 N Dearborn St Apt 2511, Chicago, IL 60610-2752 | 2019-04-01 |
1083174064 | Scheck & Siress Prosthetics, Inc | Prosthetic/Orthotic Supplier | 233 E Erie St Ste 200, Chicago, IL 60611-5938 | 2019-03-25 |
1366976243 | United Medical Market, Inc | Prosthetic/Orthotic Supplier | 1930 W Estes Ave, #104, Chicago, IL 60626-2363 | 2017-04-17 |
1124563218 | Ace Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 4315 N Lincoln Ave, Chicago, IL 60618-1711 | 2016-12-27 |
1174072276 | Eyepothecary | Prosthetic/Orthotic Supplier | 1726 W Chicago Ave, Chicago, IL 60622-5000 | 2016-09-30 |
1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
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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.