STEPHANIE RENEE MARTIN (NPI# 1891992376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891992376 |
| Entity Type | Individual |
| Full Name | STEPHANIE RENEE MARTIN |
| Credential | MD |
| Practice Address |
2401 Brandermill Blvd Suite 250 Gambrills MD 21054-1690 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4107211507 |
| Practice Fax Number | 4107211510 |
| Mailing Telephone | 4434816576 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
D73127 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | C7-0004604 | DE | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116019263 | VA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS | 97725101 | 01 |
| MD | 053826400 | 05 | |
| MD | AETNA PPO | 9936846 | 01 |
| MD | AETNA HMO | 8527802 | 01 |
| DC | BCBS | K6440003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1568833275 | Stephanie K Martin | Acupuncturist | 1549 Josephine St, Berkeley, CA 94703-1168 | 2015-10-08 |
| 1851728158 | Stephanie Martin | Marriage & Family Therapist | 314 17th Ave N, Hopkins, MN 55343-7343 | 2013-10-01 |
| 1740523703 | Stephanie Nicole Martin | Technician | 8791 Hammerly Blvd Apt 128, Houston, TX 77080-6658 | 2013-03-28 |
| 1952661860 | Stephanie M Martin | Massage Therapist | 6066 Highway 291, Nine Mile Falls, WA 99026-5008 | 2012-05-24 |
| 1457675910 | Stephanie Martin | Occupational Therapist | 1430 E Madison St, South Bend, IN 46617-2427 | 2010-03-26 |
| 1720218241 | Stephanie Martin | Specialist | 4660 Highway 1275 N, Monticello, KY 42633-7241 | 2009-07-17 |
| 1801056213 | Stephanie Martin | Case Manager/Care Coordinator | 14343 White Cross Dr, Houston, TX 77083 | 2008-06-10 |
| 1295910123 | Stephanie Anne Martin | Audiologist | 983 Nw Spruce Ave, Corvallis, OR 97330-2111 | 2008-01-09 |
| 1205025384 | Stephanie A Martin | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2007-10-15 |
| Street Address |
2401 BRANDERMILL BLVD SUITE 250 |
| City | GAMBRILLS |
| State | MD |
| Zip Code | 21054-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866336 | David Conrad Anderson | Family Medicine | 2401 Brandermill Blvd, Suite 360, Gambrills, MD 21054-1690 | 2005-07-22 |
| 1447617873 | Denise Carol Tyson | Acupuncturist | 2401 Brandermill Blvd, Ste 301, Gambrills, MD 21054-1604 | 2016-01-15 |
| 1720445158 | Advanced Integrative Health Group | Acupuncturist | 2401 Brandermill Blvd, Suite 301, Gambrills, MD 21054-1690 | 2016-01-14 |
| 1104234319 | Katina Byrd Miles, Md LLC | Dermatology | 2401 Brandermill Blvd, Suite 240, Gambrills, MD 21054 | 2014-07-31 |
| 1902236995 | Cindy Tran | Acupuncturist | 2401 Brandermill Blvd, Suite 301, Gambrills, MD 21054-1690 | 2013-11-12 |
| 1831448307 | Harcart Health Holdings LLC | Non-Pharmacy Dispensing Site | 2401 Brandermill Blvd, #100, Gambrills, MD 21054-1690 | 2012-08-30 |
| 1528322963 | Greta Janet Fuller | Acupuncturist | 2401 Brandermill Blvd, Suite 301, Gambrills, MD 21054-1604 | 2012-06-29 |
| 1497076814 | Michelle Marie Skinner | Family Medicine | 2401 Brandermill Blvd, Gambrills, MD 21054-1690 | 2010-06-21 |
| 1689904468 | Tobi Goldstein | Podiatrist | 2401 Brandermill Blvd, 340, Gambrills, MD 21054-1690 | 2009-12-30 |
| 1386885556 | The Asc At Waugh Chapel | Clinic/Center | 2401 Brandermill Blvd, # 340, Gambrills, MD 21054-1690 | 2009-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1013515154 | Ls Creative Agency LLC | Durable Medical Equipment & Medical Supplies | 1153 Route 3 North, Suite 10, Gambrills, MD 21054 | 2020-10-12 |
| 1710510540 | Mijeong Joo-bunyard | Physical Therapist | 1153 Md-3n, Suite 35, Gambrills, MD 21054 | 2020-02-20 |
| 1144873043 | Sadia Cheema | Nurse Practitioner | 1071 Md-3 North, Suite 101, Gambrills, MD 21054 | 2019-07-19 |
| 1235699620 | Sara Fiore Schwartz | Nurse Practitioner | 1071 Md-3 Suite 101, Gambrills, MD 21054 | 2019-03-21 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1821546391 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 1153 Route 3 N, Suite 35, Gambrills, MD 21054 | 2016-09-14 |
| 1780039818 | Drs Ergent Care, LLC | Clinic/Center | 1071 Route 3 N, Gambrills, MD 21054 | 2016-04-26 |
| 1871851212 | Sarsha Blackman | Dentist | 1166 Route 3 South, Suite 211, Gambrills, MD 21054 | 2012-04-23 |
| 1134485535 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1402 S. Main Chapel Way, Suite 114, Gambrills, MD 21054 | 2012-04-10 |
| Find all providers in zip 21054 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750087 | Sean Michael Curtin | Internal Medicine | 658 Boulton Street, Suite B, Bel Air, MD 21014 | 2005-06-20 |
| 1073098778 | Kennedi Van Eyken | Internal Medicine | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-09-27 |
| 1568782720 | Claudia Dal Molin | Internal Medicine | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2010-06-09 |
| 1720119027 | Sameer Dixit | Internal Medicine | 4924 Campbell Blvd, Baltimore, MD 21236-5908 | 2007-03-08 |
| 1831265685 | David Howard Plotkin | Internal Medicine | 18111 Prince Philip Dr, Suite 304, Olney, MD 20832-1513 | 2006-11-24 |
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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.