FREDERICK ROBERT MARTIN (NPI# 1912948803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912948803 |
| Entity Type | Individual |
| Full Name | FREDERICK ROBERT MARTIN |
| Credential | MD |
| Practice Address |
6051 Highway 49 Hattiesburg MS 39401-7200 |
| Mailing Address |
Po Box 15218 Hattiesburg MS 39404-5218 |
| Practice Telephone | 6012887000 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 13861 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00120808 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184869356 | Frederick Arthur Martin | Psychologist | 1232 Mill Way, Stockton, CA 95209-4368 | 2008-12-02 |
| 1134339294 | Frederick Ellis Martin IIi | Dentist | 1709 Colley Ave Ste 203, Norfolk, VA 23517-1675 | 2007-05-23 |
| 1164417713 | Frederick A Martin | Family Medicine | 1958 W State St, Bristol, TN 37620-1940 | 2005-09-20 |
| 1245236496 | Frederick Warren Martin | Optometrist | 467 Sunset Trl, Jellico, TN 37762-2709 | 2005-06-22 |
| 1164501011 | Frederick W Martin | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-03 |
| 1972680510 | Frederick Harold Martin Jr. | Psychologist | 11301 Wilshire Blvd, 116b, Los Angeles, CA 90073-1003 | 2006-11-01 |
| Street Address |
6051 HIGHWAY 49 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437557170 | Meredith Hubbard Wren | Nurse Practitioner | 6051 Highway 49, Hattiesburg, MS 39402-7200 | 2014-12-11 |
| 1932407947 | Jessica C Magee | Nurse Practitioner | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2011-03-01 |
| 1356531594 | South Mississippi Emergency Physicians,pa | Nurse Practitioner | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2007-07-25 |
| 1225249766 | Curtis W Cochran | Nurse Practitioner | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2007-05-25 |
| 1073544615 | Robert C Owen | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-07-05 |
| 1831129295 | Eric Jordan | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-07-03 |
| 1902834690 | Brian Scott Archer | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-06-29 |
| 1457389140 | John Jennings | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-06-29 |
| 1366470056 | John Clayton Nelson | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-06-29 |
| 1801824594 | Joseph James Patterson | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790130151 | Patrick Bryant | Emergency Medicine | 5001 Hardy Street, Hattiesburg, MS 39402 | 2016-05-04 |
| 1588034227 | Srikar Karanam | Emergency Medicine | 114 Breckenridge Dr Apt 203, Hattiesburg, MS 39402-3709 | 2015-10-06 |
| 1346261195 | Charles Samuel Fillingane | Emergency Medicine | 27 Lake Forgetful Apt 528, Hattiesburg, MS 39402-8275 | 2006-07-21 |
| 1861445108 | Keith A Kersten | Emergency Medicine | 123 S 27th Ave, Hattiesburg, MS 39401-7136 | 2006-05-18 |
| 1609409440 | Relias Emergency Medicine Specialists of Hattiesburg LLC | Emergency Medicine | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2020-02-20 |
| 1619488228 | Jonathan Warren Meadows | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402 | 2017-10-23 |
| 1720510837 | Kevin Mclendon | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2017-03-28 |
| 1033650031 | Miju Yu Kurtzweil | Emergency Medicine | 5001 Hardy St, Merit Health Wesley, Hattiesburg, MS 39402-1308 | 2017-03-10 |
| 1134668189 | Jacob Robert Fenster | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2017-02-22 |
| 1336688795 | Alexander K Chang | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2017-02-17 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.