SAN MARTIN MEDICAL , PLLC (NPI# 1992093546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992093546 |
| Entity Type | Organization |
| Organization Name | SAN MARTIN MEDICAL , PLLC |
| Practice Address |
7876 Us Hwy 117 S Unit A Rocky Point NC 28457-8408 |
| Practice Telephone | 9106759200 |
| Practice Fax Number | 9106750008 |
| Mailing Telephone | 9106759200 |
| Mailing Fax Number | 9106750008 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | DR. RICARDO L. VALDIVIA (OWNER) |
| Authorized Official Telephone | 9105995232 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5918307 | 05 |
| Street Address |
7876 US HWY 117 S UNIT A |
| City | ROCKY POINT |
| State | NC |
| Zip Code | 28457-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435944 | Raishael L Tessari | Family Medicine | 7876 Us Hwy 117 S Unit A, Rocky Point, NC 28457-8408 | 2020-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033442751 | Michael Brian Bush, Dmd, Pa | Dentist | 7864 Us Hwy 117 S, Suite A, Rocky Point, NC 28457 | 2009-09-14 |
| 1831300870 | Pender Memorial Hospital, Inc. | Radiology | 7910 Us Hwy 117, Rocky Point, NC 28457 | 2007-05-24 |
| 1013069491 | Michael B Bush | Dentist | 7864 Us Highway 117, Suite A, Rocky Point, NC 28457 | 2007-01-17 |
| 1427565944 | Robert Fedoronko | Contractor | 35 Stroud Will Ct, Rocky Point, NC 28457-6004 | 2018-01-05 |
| 1043344344 | Sheba L. Shiver | Psychologist | 871 Moore Town Rd, Rocky Point, NC 28457-7304 | 2007-03-16 |
| 1841257797 | Ricardo Luis Valdivia | Family Medicine | 13732 Highway 210, Suite 400, Rocky Point, NC 28457-7340 | 2006-04-26 |
| 1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
| 1942464540 | Elizabeth J. Truman | Pharmacist | 7910 Us Highway 117 S Unit 110, Rocky Point, NC 28457-7409 | 2008-07-12 |
| 1316998347 | John C. Wadsworth | Physician Assistant | 7910 Us Highway 117 S, Suite 120, Rocky Point, NC 28457-7409 | 2006-05-15 |
| 1033686175 | Grey & Teal | Pharmacy | 7910 Us Highway 117 S Unit 110, Rocky Point, NC 28457-7409 | 2018-10-26 |
| Find all providers in zip 28457 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841257797 | Ricardo Luis Valdivia | Family Medicine | 13732 Highway 210, Suite 400, Rocky Point, NC 28457-7340 | 2006-04-26 |
| 1376541912 | John J Gil | Family Medicine | 575 Route 25a, Rocky Point, NY 11778-8886 | 2005-07-08 |
| 1407852940 | David Neild Prentiss | Family Medicine | 47 Route 25a, Rocky Point, NY 11778-8846 | 2005-06-21 |
| 1902435944 | Raishael L Tessari | Family Medicine | 7876 Us Hwy 117 S Unit A, Rocky Point, NC 28457-8408 | 2020-04-02 |
| 1013336833 | George Newbill Jr. | Family Medicine | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2014-04-09 |
| 1114362480 | Carli Williams | Family Medicine | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2013-05-01 |
| 1871517748 | Christi Ray | Family Medicine | 7910 Us Highway 117 S, Suite 120, Rocky Point, NC 28457-9431 | 2006-07-26 |
| 1801855036 | Daniel F Zinicola PC | Family Medicine | 27 Commerce Dr, Rocky Point, NC 28457-7871 | 2006-03-17 |
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|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY POINT |
| Zip Code | 28457 |
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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.