John Ray Martinez (NPI# 1154352417, PAC ID# 1759378094) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1154352417 |
| PAC ID by PECOS | 1759378094 |
| Professional Enrollment ID | I20070720000263 |
| Full Name | John Ray Martinez |
| Organization Legal Name | BRANSON NEPHROLOGY LLC |
| Address |
1409 Gladden St Harrison AR 72601-2236 |
| Phone Number | 8702046683 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 0840250585 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260094 | COX MEDICAL CENTER BRANSON |
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| 260040 | COX MEDICAL CENTERS |
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Skaggs Rd, Suite 302, Branson, MO 65616-2062 | 4173348288 | BRANSON NEPHROLOGY LLC |
| 1409 Gladden St, Harrison, AR 72601-2236 | 8702046683 | BRANSON NEPHROLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 100% |
| Organization Legal Name | BRANSON NEPHROLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight P Zabel | Nephrology | Branson Nephrology LLC | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2062 |
| Phyllis Johnna Manna | Physician Assistant | Branson Nephrology LLC | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2062 |
| Lavonne M Burrows | Certified Clinical Nurse Specialist (cns) | Branson Nephrology LLC | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2062 |
| Street Address |
1409 GLADDEN ST |
| City | HARRISON |
| State | AR |
| Zip | 72601-2236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis S Butler | Nurse Practitioner | 3319 Day Lily Lane, Harrison, AR 72601 | |
| Michael V Marvel | Chiropractic | 1428 H-2 Hwy 62 65 N, Harrison, AR 72601 | |
| Kevin T Jackson | Family Medicine | Washington Regional Medical System | 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 |
| Shaun J Kahn | Chiropractic | 1428 H-2 Hwy 62-65 N, Harrison, AR 72601-1959 | |
| Amanda J Winford | Nurse Practitioner | Washington Regional Medical System | 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 |
| Mark W Powell | Orthopedic Surgery | Advanced Orthopaedic Specialists, Plc | 1420 Hwy 62 65 N, Suite A, Harrison, AR 72601-1959 |
| Joshua David Linton | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Christopher Allen Carroll | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Hannah Elizabeth Bohl | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Lindsey Breanne Wade | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Find all physicians in zip 72601 | |||
| City | HARRISON |
| Zip Code | 72601 |
| Specialty | NEPHROLOGY |
| City + Specialty | HARRISON + NEPHROLOGY |
Please comment or provide details below to improve the information on John Ray 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.