Mary Martin (NPI# 1720419997, PAC ID# 2264656354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1720419997 |
| PAC ID by PECOS | 2264656354 |
| Professional Enrollment ID | I20140611000588 |
| Full Name | Mary Martin |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Address |
500 W Broadway St Suite 310 Missoula MT 59802-4012 |
| Phone Number | 4067286520 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6608786306 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 500 W Broadway St, Suite 310, Missoula, MT 59802-4012 | 4067286520 | PROVIDENCE HEALTH AND SERVICES MT |
| 715 Main St, Lifespan Fam Med, Stevensville, MT 59870-2846 | 4067775522 | PROVIDENCE HEALTH AND SERVICES MT |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES MT |
| Physicians | 215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noor Alain Bass | Family Medicine | Providence Health and Services Mt | 1211 S Reserve St, Suite 101, Missoula, MT 59801-3103 |
| Ursula Encell Holloway | Clinical Social Worker | Providence Health and Services Mt | 3075 N Reserve St Q, Grant Creek Primary Care, Missoula, MT 59808-1390 |
| Akaash Forrest Acharya | Internal Medicine | Providence Health and Services Mt | 902 N Orange St 4th Fl, Inpatient Rehab, Missoula, MT 59802-2998 |
| Carin Dougherty | Physician Assistant | Providence Health and Services Mt | 401 W Pennsylvania St, Comm Hosp of Anaconda, Anaconda, MT 59711-1931 |
| Nicole Diane Pfeifer | Nurse Practitioner | Providence Health and Services Mt | 4720 23rd Ave, Missoula, MT 59803-1137 |
| Emily A Cote | Nurse Practitioner | Providence Health and Services Mt | 5549 Old Us Hwy 93, Florence, MT 59833-6545 |
| Tina M Barker | Nurse Practitioner | Providence Health and Services Mt | 500 W Broadway St 5th Fl, Trauma Services, Missoula, MT 59802-4096 |
| Kevin M Sheehan | Internal Medicine | Providence Health and Services Mt | 500 W Broadway St 4th Floor, Providence Broadway Int Med, Missoula, MT 59802-4096 |
| John A Willoughby | Psychiatry | Providence Health and Services Mt | 900 N Orange St, 202 Providence Psychiatry, Missoula, MT 59802-2951 |
| Rebecca B Hoover | Family Medicine | Providence Health and Services Mt | 621 W Alder, Pmg Mt Missoula Family Medical, Missoula, MT 59802-4014 |
| Street Address |
500 W BROADWAY ST SUITE 310 |
| City | MISSOULA |
| State | MT |
| Zip | 59802-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig H Mchood | Family Medicine | Western Montana Clinic PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Catherine S Gilbert | Physical Therapy | Western Montana Clinic PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| John D A Lakatua | Nephrology | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Charles J Swannack | General Surgery | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Carl J Muus | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Christopher B Goodavish | Physician Assistant | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4031 |
| Daniel M Gee | Emergency Medicine | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Jeffrey A Stephenson | Radiation Oncology | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Nicole M Finke | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Blythe Kaufmann Belzer | Internal Medicine | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Mann | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Laura E Marx | Nurse Practitioner | 825 W Kent Ave, Missoula, MT 59802 | |
| Ragna M Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Aric A Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Megan Sproull | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Noah M Bray | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Robert J Gillespie | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Carissa A Benjamin | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Danielle Chapin | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Angela Marie Ireland | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Find all physicians in zip 59802 | |||
| City | MISSOULA |
| Zip Code | 59802 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MISSOULA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mary 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.