DR. THOMAS MICHAEL MARTINKO (NPI# 1962482133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962482133 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MICHAEL MARTINKO |
| Credential | MD |
| Practice Address |
6100 Minton Rd Nw Ste 202 Palm Bay FL 32907 |
| Mailing Address |
Po Box 918025 Orlando FL 32891-8025 |
| Practice Telephone | 3213080601 |
| Practice Fax Number | 3213080598 |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0113438 | FL | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
29086 | AL | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
030140 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS - 1504 SPRINGHILL AVE | 51593425 | 01 |
| NC | NC MEDICAL BOARD | 2006-01605 | 01 |
| GA | STATE MEDICAL LICENSE | 030140 | 01 |
| FL | 006458500 | 05 | |
| AL | MEDICAL LICENSE | 29086 | 01 |
| Street Address |
6100 MINTON RD NW STE 202 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740542877 | Lizabeth Nonell Saint-hilaire | Pediatrics | 6100 Minton Rd Nw Ste 202, Palm Bay, FL 32907-1900 | 2012-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932152014 | Julio E. Pajaro | Pediatrics | 580 Malabar Rd Se, Nemours Childrens Primary Care, Palm Bay, Palm Bay, FL 32907-3107 | 2006-05-18 |
| 1417928052 | Steven D Eggen | Pediatrics | 5055 Babcock St Ne, Palm Bay, FL 32905-4673 | 2006-01-31 |
| 1649259623 | Doris Margarita Leedy | Pediatrics | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2006-01-10 |
| 1740542877 | Lizabeth Nonell Saint-hilaire | Pediatrics | 6100 Minton Rd Nw Ste 202, Palm Bay, FL 32907-1900 | 2012-06-14 |
| 1770898330 | Mary Rose Baes Barrios-banal | Pediatrics | 5270 Babcock St Ne, Suite 1, Palm Bay, FL 32905-8630 | 2010-08-06 |
| 1053450759 | Ramon Isales | Pediatrics | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2007-02-06 |
| 1346326899 | Mahesh M Soni | Pediatrics | 1051 Port Malabar Blvd Ne, Suite 9, Palm Bay, FL 32905-5153 | 2006-10-27 |
| 1972562957 | Carmen Judith Pagan | Pediatrics | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905 | 2006-03-20 |
| 1750367686 | Sharad Vyas | Pediatrics | 2186 Harris Ave Ne, Palm Bay, FL 32905-4044 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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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.