DR. GERALD E MARTIN JR. (NPI# 1871670869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871670869 |
| Entity Type | Individual |
| Full Name | DR. GERALD E MARTIN JR. |
| Credential | DC |
| Practice Address |
840 W University Dr Suite # 7 Mesa AZ 85201-5529 |
| Mailing Address |
840 W University Dr Mesa AZ 85201-5529 |
| Practice Telephone | 4809641129 |
| Practice Fax Number | 4806494375 |
| Mailing Telephone | 4809641129 |
| Mailing Fax Number | 4806494375 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 650 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE COMPENSATION | 23050650 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0086430 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770014748 | Gerald S Martin | Nurse Practitioner | 98 Peach Ridge Rd, Anna, IL 62906-2243 | 2017-03-22 |
| 1538423918 | Gerald Wesley Martin | Pharmacist | 453 Wildwood Dr, Grand Junction, CO 81507-2505 | 2012-06-29 |
| 1881685725 | Gerald Thomas Martin | Dentist | 2012 N Main St, Shelbyville, TN 37160-2022 | 2005-10-31 |
| 1194713511 | Gerald B Martin | Internal Medicine | 64 S West St, Carlisle, PA 17013 | 2005-10-10 |
| 1871736215 | Gerald Jerome Martin | Student in an Organized Health Care Education/Training Program | 445 Ledyard St, Detroit, MI 48201-2641 | 2009-04-15 |
| 1760570840 | Gerald Mikel Martin | Family Medicine | 350 S 40th St, Muskogee, OK 74401-4915 | 2006-10-11 |
| 1194784009 | Gerald R Martin | Internal Medicine | 317 Chestnut St, Brevard, NC 28712-3898 | 2006-03-20 |
| Street Address |
840 W UNIVERSITY DR SUITE # 7 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053360644 | Spectrum Home Health Care, LLC | Home Health | 840 W University Dr, Suite #3, Mesa, AZ 85201-5529 | 2006-05-09 |
| 1295816155 | Jack Thurston Wheatley | Chiropractor | 840 W University Dr, #7, Mesa, AZ 85201-5529 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359626 | Adapt Chiropractic Pllc | Chiropractor | 1728 S Greenfield Rd Ste 109, Mesa, AZ 85206-3484 | 2020-09-03 |
| 1699391052 | Emily Weber | Chiropractor | 3426 E Baseline Rd, Mesa, AZ 85204-7291 | 2020-06-22 |
| 1285280099 | Mesa Chiropractic Pllc | Chiropractor | 6731 E Brown Rd Ste 101, Mesa, AZ 85205-4964 | 2019-08-16 |
| 1801352406 | Kwd Enterprises, LLC | Chiropractor | 1107 S Gilbert Rd Ste 111, Mesa, AZ 85204-5233 | 2019-02-19 |
| 1124524111 | Bryce Garst | Chiropractor | 6836 E Brown Rd Ste 102, Mesa, AZ 85207-3756 | 2018-03-30 |
| 1508369174 | Colby Ivan Davis | Chiropractor | 4904 S Power Rd Ste 105, Mesa, AZ 85212-3610 | 2018-03-09 |
| 1366953200 | Yunjae Park | Chiropractor | 1116 S Dobson Rd Ste 126, Mesa, AZ 85202-3920 | 2017-10-18 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1285179457 | Tecla Fuller | Chiropractor | 1728 S Greenfield Rd, Suite 109, Mesa, AZ 85206-3485 | 2016-12-27 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| Find all providers in MESA | ||||
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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.