CHAYSE BROCKMAN MARTIN (NPI# 1962883603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962883603 |
| Entity Type | Individual |
| Full Name | CHAYSE BROCKMAN MARTIN |
| Credential | D.O. |
| Practice Address |
600 Wilson Creek Rd Lawrenceburg IN 47025-2751 |
| Mailing Address |
718 N Macomb St Monroe MI 48162-7815 |
| Practice Telephone | 8125371010 |
| Mailing Telephone | 7342401991 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 04805 | KY | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 02005646A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100672380 | 05 | |
| IN | 300030141 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 N Grand Ave, Fort Thomas, KY 410751793 | 8595723617 | 8595722326 |
| Street Address |
600 WILSON CREEK RD |
| City | LAWRENCEBURG |
| State | IN |
| Zip Code | 47025-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474835 | Gregory Heaton | Pathology | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2005-11-16 |
| 1235736471 | St. Elizabeth Medical Center, Inc | Pharmacy | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2020-10-01 |
| 1003431990 | Emily Turner | Physician Assistant | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2020-06-16 |
| 1154965200 | William Cody Johnson | Pharmacist | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2019-11-01 |
| 1760968689 | East Indiana Physicians Associates | Internal Medicine | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2018-07-13 |
| 1871082578 | Robert Kippler | Specialist/Technologist | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2018-05-08 |
| 1841789542 | Madison Lamppert | Specialist/Technologist | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2018-05-08 |
| 1154868651 | Tracy Tramel | Nurse Practitioner | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2017-01-23 |
| 1649720244 | Tristate Pathology and Forensic Services LLC | Pathology | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2016-10-06 |
| 1003270976 | Dearborn County Hospital Woundcare | General Acute Care Hospital | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2016-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761932 | Aimee Elizabeth Steele | Social Worker | 285 Bielby Rod, Lawrenceburg, IN 47025 | 2016-06-21 |
| 1942663703 | Kathryn Robinson | Speech-Language Pathologist | 478 Eagleview Drive, Lawrenceburg, IN 47025 | 2016-03-30 |
| 1518342674 | Emily Eichinger | Pharmacist | 401 W Eads Pkwy Ste 270, Greendale, IN 47025 | 2015-07-29 |
| 1104267269 | Bright Family Eye Care LLC | Optometrist | 24173 Stateline Rd., Suite 200, Lawrenceburg, IN 47025 | 2013-07-17 |
| 1912274333 | James J Gibbs | Pharmacist | 432 Craig Avenue, Greendale, IN 47025 | 2011-11-30 |
| 1265717755 | Carrie Rowekamp | Pharmacist | 432 Craig Ave., Greendale, IN 47025 | 2011-10-15 |
| 1619277621 | Whitner Counseling | Community/Behavioral Health | 5 Mary Street, Lawrenceburg, IN 47025 | 2010-10-25 |
| 1255646170 | Charles Alan Perine | Audiologist | 368 Bielby Rd Suite 140, Ludlow Hill Preofessional Bldg, Lawrenceburg, IN 47025 | 2010-08-16 |
| 1457579328 | Sei Physical Therapy, Inc. | Physical Therapist | 23990 Stateline Rd., Suite 1, Lawrenceburg, IN 47025 | 2007-04-23 |
| 1447382593 | Keith William Blankman | Optometrist | 19908 Augusta Dr, Suite 1, Lawrenceburg, IN 47025 | 2007-03-12 |
| Find all providers in zip 47025 | ||||
| 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 |
|---|---|---|---|---|
| 1790116531 | Dearborn County Emergency Physicians Inc | Emergency Medicine | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2013-12-04 |
| 1033553607 | Matthew B Neal | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2013-04-24 |
| 1356458095 | Ronald C Cheek | Emergency Medicine | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2006-08-25 |
| 1366550022 | Steven K Gunderson | Emergency Medicine | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2006-08-25 |
| 1093823775 | Richard Frederick Zegarra II | Emergency Medicine | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2006-08-25 |
| 1952340697 | Dan S Powell | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-06 |
| 1588603237 | Charles Love | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-06 |
| 1437198173 | William L Bell Jr. | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-06 |
| 1235185240 | Leroy F Barden IIi | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358255 | Vyvian Charlene Lawrence | Emergency Medicine | 5939 W Lincoln Hwy, Crown Point, IN 46307-9604 | 2020-08-28 |
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1154777613 | Michael J Bojrab | Emergency Medicine | 6720 Kirkdale Dr, Fort Wayne, IN 46815-5524 | 2016-05-13 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1457730830 | Patrick Lee Studtman | Emergency Medicine | 615 N. Michigan Street, Emergency Department, South Bend, IN 46601-1033 | 2015-05-19 |
| 1861888430 | Enola Okonkwo | Emergency Medicine | 9785 Valley Springs Blvd, Fishers, IN 46037-8764 | 2015-04-10 |
| 1518355882 | Marlin R. Gray | Emergency Medicine | 925 N. County Rd., 1100e, Otwell, IN 47564 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEBURG |
| Zip Code | 47025 |
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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.