JERRY MARTIN (NPI# 1831182872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831182872 |
| Entity Type | Individual |
| Full Name | JERRY MARTIN |
| Credential | CRNA |
| Practice Address |
1 Hospital Dr Columbia MO 65212-0001 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738822568 |
| Practice Fax Number | 5738822226 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | RN307552 | OH | Other Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 070444 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BCBS | 000000325469 | 01 |
| MO | 912787918 | 05 | |
| OH | 2442771 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1821415571 | Jerry Nell Martin | Registered Nurse | 531 David W Ray Dr, Georgetown, SC 29440-6693 | 2014-03-19 |
| 1437240157 | Jerry H. Martin | Dentist | 4150 Douglas Blvd, # A, Granite Bay, CA 95746-5964 | 2006-09-27 |
| 1235239344 | Jerry D Martin | Dentist | 418 W. Monroe Ave., Chester, MT 59522-0516 | 2006-09-25 |
| 1992730832 | Jerry Wayne Martin | Family Medicine | 338 Gay Street, Suite A, Washington, VA 22747-0269 | 2006-07-11 |
| 1336112549 | Jerry L. Martin | Physician Assistant | 150 Page Rd, Robins Afb, GA 31098-1600 | 2006-02-08 |
| 1679543821 | Jerry Lee Martin | Optometrist | 1745 W Avenue K, Lancaster, CA 93534-6502 | 2006-01-23 |
| 1831184332 | Jerry K Martin Jr. | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2005-09-12 |
| 1083064562 | Jerry Martin | Counselor | 4411 N Cedar Ave Ste 108, Fresno, CA 93726-2538 | 2016-06-15 |
| 1013172733 | Jerry Vann Martin | Emergency Medicine | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 | 2008-07-22 |
| Street Address |
1 HOSPITAL DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081508 | Michael S Brown | Anesthesiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2005-05-24 |
| 1639770928 | Kelsey Loethen | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-11-04 |
| 1750995718 | Hilary Anna Felice | Orthopaedic Surgery | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-06 |
| 1750995270 | Shannon Marie Green | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1001 | 2020-09-02 |
| 1992319628 | Mahmoud A Ali | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-01 |
| 1538777644 | Komal Ijaz | Pathology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-15 |
| 1649898859 | Iwalewa Olowoporoku | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-14 |
| 1821616509 | Bryce Hoelscher | Student in an Organized Health Care Education/Training Program | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-09 |
| 1770100026 | Parker Trent Russell | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
| 1548887896 | Jacqueline E Santamarina | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598143521 | Lasette Denise Allen | Nurse Anesthetist, Certified Registered | 1 Hospital Dr # 3w-27, University of Missouri, Dept of Anesthesiology, Columbia, MO 65212-1000 | 2015-05-11 |
| 1366855363 | Christin Jennifer Stoner | Nurse Anesthetist, Certified Registered | 2607 Stratford Chase Pkwy, Columbia, MO 65201 | 2014-06-06 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| 1215359369 | Anna Allen | Nurse Anesthetist, Certified Registered | 1330 Taylor St, Columbia, SC 29201-2915 | 2014-01-08 |
| 1700214954 | Matthew Grayson | Nurse Anesthetist, Certified Registered | 2655 Harrison Rd, Columbia, SC 29204-2530 | 2013-10-25 |
| 1609136431 | Jill Timms Cox | Nurse Anesthetist, Certified Registered | 1436 Dahlia Rd, Columbia, SC 29205-4812 | 2012-05-27 |
| 1205109428 | Sc Anesthesiology LLC | Nurse Anesthetist, Certified Registered | 1520 Taylor Street, Suite 250, Columbia, SC 29201-2912 | 2012-02-18 |
| 1225305840 | Joseph Onukwufor Udeh | Nurse Anesthetist, Certified Registered | 7661 Woodpark Ln Apt 303, Columbia, MD 21046-2736 | 2011-11-28 |
| 1750685962 | Ramses Baguio | Nurse Anesthetist, Certified Registered | 1316 Old Highway 63 S Ste 102, Columbia, MO 65201-6092 | 2011-01-03 |
| 1518260686 | Thomas Joseph Ortbals II | Nurse Anesthetist, Certified Registered | 1600 E. Broadway, Anesthesia Department, Columbia, MO 65201-6092 | 2010-12-13 |
| Find all providers in COLUMBIA | ||||
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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.