Richard E Martin (NPI# 1689662983, PAC ID# 1759288814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1689662983 |
| PAC ID by PECOS | 1759288814 |
| Professional Enrollment ID | I20050811001124 |
| Full Name | Richard E Martin |
| Organization Legal Name | PRESENTATION MEDICAL CENTER |
| Address |
213 2nd Ave Ne Rolla ND 58367-7153 |
| Phone Number | 7014773161 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5991764045 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 351316 | PRESENTATION MEDICAL CENTER |
| 241373 | PERHAM HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 213 2nd Ave Ne, Rolla, ND 58367-7153 | 7014773161 | PRESENTATION MEDICAL CENTER |
| Organization Legal Name | PRESENTATION MEDICAL CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryn L Young | Nurse Practitioner | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Rachelle Fischer | Nurse Practitioner | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Morgan Lange | Physician Assistant | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Roy A Cordy | Emergency Medicine | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Jody Sharp | Nurse Practitioner | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Michael Questell | Family Practice | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Street Address |
213 2ND AVE NE |
| City | ROLLA |
| State | ND |
| Zip | 58367-7153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryn L Young | Nurse Practitioner | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Rachelle Fischer | Nurse Practitioner | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Morgan Lange | Physician Assistant | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Roy A Cordy | Emergency Medicine | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Jody Sharp | Nurse Practitioner | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Michael Questell | Family Practice | Presentation Medical Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobias T Mccabe | Chiropractic | 113 Main Ave E Se, Rolla, ND 58367-7124 |
| City | ROLLA |
| Zip Code | 58367 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ROLLA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Richard E 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.