Jacob Martinez (NPI# 1124311014, PAC ID# 0042489338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1124311014 |
| PAC ID by PECOS | 0042489338 |
| Professional Enrollment ID | I20110802000618 |
| Full Name | Jacob Martinez |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Address |
3175 Smith Rd Lambertville MI 48144-9434 |
| Phone Number | 3138565494 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7012902265 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231334 | PROMEDICA HERRICK HOSPITAL |
| 230005 | PROMEDICA BIXBY HOSPITAL |
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230259 | ST JOSEPH MERCY CHELSEA |
| Address | Phone | Organization |
|---|---|---|
| 3175 Smith Rd, Lambertville, MI 48144-9434 | 3138565494 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maura Ann Crescenzo | Nurse Practitioner | Promedica Central Corporation of Michigan | 500 E Pottawatamie, Tecumseh, MI 49286-2018 |
| Jennifer Lewis | Nurse Practitioner | Promedica Central Corporation of Michigan | 781 Lakeshire Trail, Adrian, MI 49221-1561 |
| Mary Beth Darling | Nurse Practitioner | Promedica Central Corporation of Michigan | 200 E Russell Rd C, Tecumseh, MI 49286-2072 |
| Mindy A Howard | Nurse Practitioner | Promedica Central Corporation of Michigan | 901 Kimole Ln, A4, Adrian, MI 49221-1491 |
| Shimea L Hunt | Physician Assistant | Promedica Central Corporation of Michigan | 200 E Russell Rd, Unit C, Tecumseh, MI 49286-2072 |
| Daniel R Doman | Family Medicine | Promedica Central Corporation of Michigan | 818 Riverside Ave 5th Floor Cardiology, Adrian, MI 49221-1446 |
| Louise A Justus | Physician Assistant | Promedica Central Corporation of Michigan | 400 N Main St A, Onsted, MI 49265-9203 |
| Konda B C Mouli | Urology | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| Jody C Rhames | Family Medicine | Promedica Central Corporation of Michigan | 901 Kimole Lane, A1, Adrian, MI 49221-1491 |
| Tariq Aqil Siddiqi | Family Medicine | Promedica Central Corporation of Michigan | 750 High St, Adrian, MI 49221-1443 |
| Street Address |
3175 SMITH RD |
| City | LAMBERTVILLE |
| State | MI |
| Zip | 48144-9434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Marie Chartier | Family Medicine | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Lacey Marie Kane | Physician Assistant | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Steven Brindamour | Physician Assistant | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Jason C Roberto | Physician Assistant | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Janet E Hiser | Nurse Practitioner | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Jessica B Wenzel | Nurse Practitioner | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Stephen R Tisdale | Physician Assistant | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| William J Murdoch | Family Medicine | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| James J Bitz | Physician Assistant | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| David R Reames | Family Medicine | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan L Flagg | Nurse Practitioner | Hospice of Northwest Ohio | 8132 Secor Rd, Lambertville, MI 48144-8673 |
| Scott E Hughes | Podiatry | Foot and Ankle Specialists PC | 8085 Secor Rd, Lambertville, MI 48144-8673 |
| Greg P Vogt | Podiatry | Foot and Ankle Specialists PC | 8085 Secor Rd, Lambertville, MI 48144-8673 |
| Christine I Tumele | Podiatry | Foot and Ankle Specialists PC | 8085 Secor Rd, Lambertville, MI 48144-8673 |
| James D Hardie | Optometry | Robert C Layman Od Inc | 3309 Quail Hollow Dr, Suite E, Lambertville, MI 48144-8688 |
| Reyna L Lajiness | Chiropractic | 3309 Quail Hollow Dr, Suite A, Lambertville, MI 48144-8688 | |
| Ashley M Odwyer | Optometry | Robert C Layman Od Inc | 3309 Quail Hollow Dr, Suite E, Lambertville, MI 48144-8688 |
| Holly A Hardie | Optometry | Robert C Layman Od Inc | 3309 Quail Hollow Dr, Suite E, Lambertville, MI 48144-8688 |
| Robert C Layman | Optometry | Robert C Layman Od Inc | 3309 Quail Hollow Dr, Suite E, Lambertville, MI 48144-8688 |
| Michael W Hill | Chiropractic | Spines At The Line Chiropractic Center LLC | 8050 Summerfield Rd, Suite 2, Lambertville, MI 48144-9368 |
| Find all physicians in zip 48144 | |||
| City | LAMBERTVILLE |
| Zip Code | 48144 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LAMBERTVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jacob Martinez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.