JEREMY SCOTT MARTIN (NPI# 1962996140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962996140 |
| Entity Type | Individual |
| Full Name | JEREMY SCOTT MARTIN |
| Practice Address |
2481 N.e. Coachman Rd Clearwater FL 33765 |
| Mailing Address |
Po Box 3146 Pinellas Park FL 33780-3146 |
| Practice Telephone | 7277979756 |
| Mailing Telephone | 7272762579 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021020300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326410143 | Jeremy Martin | Community/Behavioral Health | 114 Royal St., Natchitoches, LA 71457 | 2015-10-21 |
| 1881829240 | Jeremy M Martin | Physical Therapist | 4767 Drane Field Rd, Lakeland, FL 33811-1220 | 2009-05-28 |
| 1104833508 | Jeremy Ward Martin | Chiropractor | 132 Hurricane Shoals Rd Ne, Suite B, Lawrenceville, GA 30045-4476 | 2006-08-01 |
| 1780145599 | Jeremy W Martin | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2019-03-26 |
| 1265998017 | Jeremy D Martin | Physical Therapist | 500 E Business Way, Cincinnati, OH 45241-2374 | 2019-02-18 |
| 1811463821 | Jeremy Bryce Martin | Counselor | 241 Wright St, Marquette, MI 49855-1955 | 2018-10-17 |
| 1912381328 | Jeremy King Martin | Counselor | 491 Main St, Athol, MA 01331-1846 | 2015-07-15 |
| 1245522895 | Jeremy G Martin | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2011-05-13 |
| 1699929950 | Jeremy Kyle Martin | Dentist | 100 Madrid Blvd, Ste 414, Punta Gorda, FL 33950-7968 | 2008-11-12 |
| 1669502555 | Jeremy Edward Martin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| Street Address |
2481 N.E. COACHMAN RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| 1609068162 | Alternative Treatment International, Inc. | Substance Abuse Rehabilitation Facility | 2120 Range Road, Suite 263, Clearwater, FL 33765 | 2007-08-17 |
| Find all providers in zip 33765 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832231 | Lucy E Brogan | Clinic/Center | 2855 Gulf To Bay Blvd Apt 11204, Clearwater, FL 33759-4068 | 2020-05-11 |
| 1316584261 | Venus E&e LLC | Clinic/Center | 1490 Southridge Dr, Clearwater, FL 33756-1323 | 2019-12-10 |
| 1003471582 | Snh Group Home, LLC | Clinic/Center | 1561 Rosemont Dr, Clearwater, FL 33755-2149 | 2019-05-09 |
| 1821515693 | Pughs Caring Angels LLC | Clinic/Center | 730 N Old Coachman Rd Apt I1, Clearwater, FL 33765-2326 | 2017-08-23 |
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|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33765 |
Please comment or provide details below to improve the information on JEREMY SCOTT 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.