Mary W Martin (NPI# 1245244359, PAC ID# 4183617350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1245244359 |
| PAC ID by PECOS | 4183617350 |
| Professional Enrollment ID | I20040405000762 |
| Full Name | Mary W Martin |
| Organization Legal Name | PROPHYLAXIS HEALTHCARE LLC |
| Address |
2431 Se Washington Blvd B Axis Healthcare Bartlesville Bartlesville OK 74006-7259 |
| Phone Number | 9183352273 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1991 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3072784289 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370015 | HILLCREST HOSPITAL PRYOR |
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| Address | Phone | Organization |
|---|---|---|
| 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259 | 9183352273 | PROPHYLAXIS HEALTHCARE LLC |
| 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 | 9189433790 | PROPHYLAXIS HEALTHCARE LLC |
| 211 S Mill St, Axis Healthcare Pryor 2, Pryor, OK 74361-5221 | 9188253777 | PROPHYLAXIS HEALTHCARE LLC |
| 510 S Elliott St B, Axis Healthcare Pryor 1, Pryor, OK 74361-6429 | 9188253777 | PROPHYLAXIS HEALTHCARE LLC |
| 303 E Taft Ave, 3 Axis Healthcare Sapulpa, Sapulpa, OK 74066-5651 | 9182242222 | PROPHYLAXIS HEALTHCARE LLC |
| Organization Legal Name | PROPHYLAXIS HEALTHCARE LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda L Hayman-hensley | Physician Assistant | Prophylaxis Healthcare LLC | 5505 E 51st St, Tulsa, OK 74135-7468 |
| James M Lackey | Family Medicine | Prophylaxis Healthcare LLC | 23 W Commercial St, Axis Healthcare Inola, Inola, OK 74036-3606 |
| John P Watson | Nurse Practitioner | Prophylaxis Healthcare LLC | 211 S Mill St, Axis Healthcare Pryor 2, Pryor, OK 74361-5221 |
| Bret A Hubbard | Family Medicine | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Tony Ho | Family Medicine | Prophylaxis Healthcare LLC | 303 E Taft Ave, 3 Axis Healthcare Sapulpa, Sapulpa, OK 74066-5651 |
| David Chorley | Family Medicine | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Robert E Mitchell | Plastic and Reconstructive Surgery | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Elizabeth A Lee | Physician Assistant | Prophylaxis Healthcare LLC | 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259 |
| Jacklyn D Rose | Nurse Practitioner | Prophylaxis Healthcare LLC | 303 E Taft Ave, 3 Axis Healthcare Sapulpa, Sapulpa, OK 74066-5651 |
| Scott G Lilly | Hematology/oncology | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Street Address |
2431 SE WASHINGTON BLVD B AXIS HEALTHCARE BARTLESVILLE |
| City | BARTLESVILLE |
| State | OK |
| Zip | 74006-7259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Lee | Physician Assistant | Prophylaxis Healthcare LLC | 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259 |
| Robert L Bullard | Physician Assistant | Prophylaxis Healthcare LLC | 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalton Christopher Smith | Physical Therapy | Tulsa Bone and Joint Associates PC | 4140 Seadams Rd, Bartlesville, OK 74006 |
| Huyen Luong | Qualified Audiologist | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Charles D Holland Jr. | Otolaryngology | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Margaret L White | Nurse Practitioner | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Mark Robertson | Otolaryngology | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Christie J Swaim | Speech Language Pathologist | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Nicole L Cupp | Podiatry | Nicole L. Cupp Dpm Pllc | 234 Se Debell Ave, Advanced Podiatry of Bartlesville, Bartlesville, OK 74006-2305 |
| Richard S.c. Grisham | Ophthalmology | Grisham Eye Associates PC | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 |
| John W Hatchett | General Surgery | Oklahoma Cancer Specialists and Research Institute, LLC | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 |
| Patricia A Catts | Nurse Practitioner | Oklahoma Cancer Specialists and Research Institute, LLC | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 |
| Find all physicians in zip 74006 | |||
| City | BARTLESVILLE |
| Zip Code | 74006 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BARTLESVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Mary W 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.