Mark D Martin (NPI# 1346490695, PAC ID# 0749502565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1346490695 |
PAC ID by PECOS | 0749502565 |
Professional Enrollment ID | I20141205002124 |
Full Name | Mark D Martin |
Organization Legal Name | INTERCEPT YOUTH SERVICES INC |
Address |
5673 Airport Rd Roanoke VA 24012-1119 |
Phone Number | 5405238080 |
Gender | M |
Graduation Year | 2005 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 2466748744 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5673 Airport Rd, Roanoke, VA 24012-1119 | 5405238080 | INTERCEPT YOUTH SERVICES INC |
Organization Legal Name | INTERCEPT YOUTH SERVICES INC |
Physicians | 1 |
Street Address |
5673 AIRPORT RD |
City | ROANOKE |
State | VA |
Zip | 24012-1119 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph Waheb Iskandar | Psychiatry | 5673 Airport Rd, Roanoke, VA 24012-1119 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert S Lucas | Family Practice | 5501 Williamson Rd, Roanoke, VA 24012-1439 | |
Michael H Clary | General Practice | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Allison M Fusco | Physician Assistant | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Virginia K Vaughn | Nurse Practitioner | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Stacey A Robertson | Family Medicine | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Joseph C Wright | Physician Assistant | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Jonathan S Lekoshere | Family Medicine | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Amy Michelle Bonds | Nurse Practitioner | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Elizabeth Versprille Hagan | Nurse Practitioner | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Anja K Campbell | Nurse Practitioner | Medexpress Urgent Care, PC - Virginia | 5610 Williamson Rd, Roanoke, VA 24012-1442 |
Find all physicians in zip 24012 |
City | ROANOKE |
Zip Code | 24012 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | ROANOKE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mark D Martin.
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.