Tracy Martin (NPI# 1952460057, PAC ID# 2961419320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952460057 |
| PAC ID by PECOS | 2961419320 |
| Professional Enrollment ID | I20150928001438 |
| Full Name | Tracy Martin |
| Organization Legal Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Address |
2115 Stuart Ave Alamosa CO 81101-2269 |
| Phone Number | 7195893000 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4789589094 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060008 | SAN LUIS VALLEY HEALTH |
| 061308 | SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2115 Stuart Ave, Alamosa, CO 81101-2269 | 7195893000 | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Organization Legal Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Nicole Daugherty | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 19021 Us Hwy 285, La Jara, CO 81140-9410 |
| Kalee Chavez-miller | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Sarah Lynn Lewing | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Edward F Kulp | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Rachel A Weinzimmer | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Derek Christopher Liston | Emergency Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Gary W Bong | Urology | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Sarah Marie Mcalpine | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mark Dewitt Talmage | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Richard A Walsh | Urology | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Street Address |
2115 STUART AVE |
| City | ALAMOSA |
| State | CO |
| Zip | 81101-2269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Lynn Lewing | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Sarah Marie Mcalpine | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Thomas Scott Jenks | Certified Registered Nurse Anesthetist (crna) | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mikaila Heldt Pence | Pediatric Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mallori Gariner | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| David N Geiger | General Surgery | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Laura Burkhardt | Clinical Social Worker | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Jeffrey Oster | Podiatry | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Katherine Odonnell | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Ginger L Smith | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Watson | Optometry | 3333 Clark St, Alamosa, CO 81101-2050 | |
| Laticia Rae Hollingsworth | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Carmelo Hernandez | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Amy Cheatwood | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Jacqueline Garrard | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Tauqir Ahmad | Internal Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Brendan Simenc | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Eric J Weed | Certified Registered Nurse Anesthetist (crna) | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Linda Susan Vaughan | Qualified Audiologist | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Craig Hankins | Orthopedic Surgery | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Find all physicians in zip 81101 | |||
| City | ALAMOSA |
| Zip Code | 81101 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALAMOSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tracy 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.