MICHAEL MARTIN (NPI# 1952364341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952364341 |
| Entity Type | Individual |
| Full Name | MICHAEL MARTIN |
| Credential | MD |
| Practice Address |
1504 Sullivan Ave South Windsor CT 06074-2711 |
| Mailing Address |
Po Box 3136 Vernon CT 06066-2036 |
| Practice Telephone | 8606441523 |
| Practice Fax Number | 8606489468 |
| Mailing Telephone | 8608961422 |
| Mailing Fax Number | 8608961425 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2010-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 018063 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CTCARE | 018083 | 01 |
| CT | ANTHEM | 010018083CT02 | 01 |
| CT | MEDICARE RAILROAD | P00087818 | 01 |
| CT | 1952364341 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518927 | Michael Martin | Technician | 902 Woodlawn Ave, Beckley, WV 25801-6430 | 2020-11-06 |
| 1134779721 | Michael C Martin | Counselor | 28 Catherine Ave, Saddle Brook, NJ 07663-4806 | 2019-09-16 |
| 1043865025 | Michael Andrew Martin | Hearing Instrument Specialist | 1692 Stonegate Dr, Greenwood, IN 46142-5013 | 2019-08-06 |
| 1376037416 | Michael Timothy Martin | Social Worker | 1816 Front St, Durham, NC 27705-2582 | 2018-06-21 |
| 1073006714 | Michael Martin Jr. | Counselor | 125 E Park Ave, Haddon Twp, NJ 08107-1034 | 2018-06-07 |
| 1811442783 | Michael Martin | Physical Therapist | 888 White Plains Rd Fl 2, 209, Trumbull, CT 06611-4552 | 2016-08-22 |
| 1710378112 | Michael Martin | Psychologist | 26005 E 107th St S, Broken Arrow, OK 74014-3944 | 2015-02-07 |
| 1184064032 | Michael Martin II | Behavior Technician | 1915 Aerotech Dr Ste 190, Colorado Springs, CO 80916-4213 | 2013-06-25 |
| 1912268384 | Michael Jack Martin | Marriage & Family Therapist | 358 Sea Ridge Rd Apt 1, Aptos, CA 95003-4356 | 2012-06-01 |
| 1386920858 | Michael E Martin | Chiropractor | 13060 Marlette Dr, La Mirada, CA 90638-1933 | 2011-10-28 |
| Street Address |
1504 SULLIVAN AVE |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992767826 | Yusra Anis-anwar | Internal Medicine | 1504 Sullivan Ave, South Windsor, CT 06074 | 2006-04-05 |
| 1275770398 | Susada Inthavong | Nurse Practitioner | 1504 Sullivan Ave, South Windsor, CT 06074-2711 | 2009-01-12 |
| 1285675082 | Anis & Martin Internal Medicine Associates, LLC | Internal Medicine | 1504 Sullivan Ave, South Windsor, CT 06074-2711 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1750697124 | Muhammad Riaz Khan | Internal Medicine | 240 Brookfiel St., South Windsor, CT 06074 | 2010-08-24 |
| 1588838155 | Vasanth Kainkaryam | Internal Medicine | 1199 Sullivan Ave Ste A, South Windsor, CT 06074-2013 | 2008-04-15 |
| 1952570764 | Anupma Saini | Internal Medicine | 2400 Tamarack Ave Ste 202, South Windsor, CT 06074-5559 | 2008-02-26 |
| 1760408835 | South Windsor Ambulatory Care Ctr Inc | Internal Medicine | 2800 Tamarack Avenue, Suite 105, South Windsor, CT 06074-5539 | 2006-07-14 |
| 1992767826 | Yusra Anis-anwar | Internal Medicine | 1504 Sullivan Ave, South Windsor, CT 06074 | 2006-04-05 |
| 1043296577 | Jeffrey E Stein | Internal Medicine | 1559 Sullivan Ave, Hartford Medical Group, South Windsor, CT 06074-2712 | 2005-12-16 |
| 1891033676 | Ognjenka Nadazdin Boskovic | Internal Medicine | 1559 Sullivan Ave, South Windsor, CT 06074-2712 | 2013-01-29 |
| 1164600615 | Marcy Lynn Qureshi | Internal Medicine | 2400 Tamarack Ave, Suite 101, South Windsor, CT 06074-5555 | 2008-02-07 |
| 1144233065 | Raymond G London | Internal Medicine | 1330 Sullivan Ave, South Windsor, CT 06074-2713 | 2006-08-14 |
| 1285675082 | Anis & Martin Internal Medicine Associates, LLC | Internal Medicine | 1504 Sullivan Ave, South Windsor, CT 06074-2711 | 2006-06-10 |
| Find all providers in SOUTH WINDSOR | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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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.