KEITH A MARTIN (NPI# 1952914269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952914269 |
| Entity Type | Individual |
| Full Name | KEITH A MARTIN |
| Practice Address |
1675 Meadow Bridge Rd Meadow Bridge WV 25976-9658 |
| Practice Telephone | 3046607620 |
| Mailing Telephone | 3046607620 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542020 | Keith Andrew Martin | Physical Therapy Assistant | 8551 Wakefield Dr, Palm Beach Gardens, FL 33410-6363 | 2019-08-05 |
| 1518352590 | Keith Martin | Pediatrics | 3430 Burnet Avenue, Ml 5026, Cincinnati, OH 45229 | 2015-04-06 |
| 1922376771 | Keith Eric Martin | Social Worker | 2491 Purdue Ave, 213, Los Angeles, CA 90064-3046 | 2011-12-08 |
| 1285803270 | Keith Alan Martin | Physical Therapist | 6640 Parkdale Pl Ste T, Indianapolis, IN 46254-5619 | 2008-02-25 |
| 1356302657 | Keith Albert Martin | Dentist | 9100 E 29th St N, Wichita, KS 67226-2177 | 2006-03-28 |
| 1770569923 | Keith Blaine Martin | Chiropractor | 309 2nd St Se Ste 101, Auburn, WA 98002-5543 | 2005-12-20 |
| 1013211663 | Keith Martin | Social Worker | 56 Bay St, Staten Island, NY 10301-2563 | 2010-12-22 |
| 1801007190 | Keith R Martin | Obstetrics & Gynecology | 3103 W Kunkle Blvd, Freeport, IL 61032-6922 | 2007-05-25 |
| 1003027046 | Keith Stanley Martin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2007-05-24 |
| 1649280546 | Keith L Martin | Specialist | 16671 Yorba Linda Blvd, Suite 200, Yorba Linda, CA 92886-2025 | 2006-08-09 |
| Street Address |
1675 MEADOW BRIDGE RD |
| City | MEADOW BRIDGE |
| State | WV |
| Zip Code | 25976-9658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561622 | Tonya L Nutter | Technician | 440 Backus Mountain Rd, Meadow Bridge, WV 25976 | 2020-09-04 |
| 1932293941 | Rainelle Medical Center Inc | Clinic/Center | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-10-03 |
| 1225135536 | Dianna Gail Bolen | Physician Assistant | 8971 Sewell Creek Road, Meadow Bridge, WV 25976 | 2006-09-20 |
| 1972670412 | Karen Elizabeth Wood | Nurse Practitioner | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-11-29 |
| 1740894476 | Joyce Ann Lyons | Technician | 309 Cox Branch Ln, Meadow Bridge, WV 25976-1104 | 2020-09-01 |
| 1376154559 | Maryann Schuller | Technician | 6423 Backus Mtn, Meadow Bridge, WV 25976-5639 | 2020-08-12 |
| 1801409362 | Tammy Lynn Hansen | Technician | 8517 Backus Mtn, Meadow Bridge, WV 25976-5657 | 2020-08-25 |
| 1568075919 | Victoria Lynn Baxley | Technician | 2844 Springdale Rd, Meadow Bridge, WV 25976-6954 | 2020-08-26 |
| 1891395331 | Bradley Layton Clark | Technician | 8620 Sewell Creek Rd, Meadow Bridge, WV 25976-7674 | 2020-10-26 |
| 1750995486 | Heather Denise Kincaid | Technician | 2645 Danese Rd, Meadow Bridge, WV 25976-9163 | 2020-09-01 |
| Find all providers in zip 25976 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395331 | Bradley Layton Clark | Technician | 8620 Sewell Creek Rd, Meadow Bridge, WV 25976-7674 | 2020-10-26 |
| 1053919696 | Katherine Ann Adkins | Technician | 71 Alpine Ct, Meadow Bridge, WV 25976-9204 | 2020-10-15 |
| 1417561622 | Tonya L Nutter | Technician | 440 Backus Mountain Rd, Meadow Bridge, WV 25976 | 2020-09-04 |
| 1750995486 | Heather Denise Kincaid | Technician | 2645 Danese Rd, Meadow Bridge, WV 25976-9163 | 2020-09-01 |
| 1740894476 | Joyce Ann Lyons | Technician | 309 Cox Branch Ln, Meadow Bridge, WV 25976-1104 | 2020-09-01 |
| 1568075919 | Victoria Lynn Baxley | Technician | 2844 Springdale Rd, Meadow Bridge, WV 25976-6954 | 2020-08-26 |
| 1801409370 | Barbara Harris | Technician | 1676 Lawn Rd, Meadow Bridge, WV 25976-9341 | 2020-08-25 |
| 1801409362 | Tammy Lynn Hansen | Technician | 8517 Backus Mtn, Meadow Bridge, WV 25976-5657 | 2020-08-25 |
| 1558972521 | Brenda Kay Adkins | Technician | 1382 Meadow Bridge Rd, Meadow Bridge, WV 25976-9683 | 2020-08-13 |
| 1376154559 | Maryann Schuller | Technician | 6423 Backus Mtn, Meadow Bridge, WV 25976-5639 | 2020-08-12 |
| Find all providers in MEADOW BRIDGE | ||||
| City | MEADOW BRIDGE |
| Zip Code | 25976 |
Please comment or provide details below to improve the information on KEITH A MARTIN.
| 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.