Jerry W Martin (NPI# 1992730832, PAC ID# 4587666284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1992730832 |
| PAC ID by PECOS | 4587666284 |
| Professional Enrollment ID | I20070208000705 |
| Full Name | Jerry W Martin |
| Address |
338 Gay St A Washington VA 22747-0269 |
| Phone Number | 5406753316 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490019 | NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MED CENTE |
| 490023 | FAUQUIER HOSPITAL |
| 490033 | WARREN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 338 Gay St A, Washington, VA 22747-0269 | 5406753316 |
| Street Address |
338 GAY ST A |
| City | WASHINGTON |
| State | VA |
| Zip | 22747-0269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Carter | Nurse Practitioner | Page Memorial Hospital, Inc | 12699 Lee Hwy, Washington, VA 22747-1931 |
| Anne C Williams | Physical Therapy | Mountainside Physical Therapy Inc | 12625 Lee Hwy, A, Washington, VA 22747-1931 |
| Ella M Mantiply | Physical Therapy | Mountainside Physical Therapy Inc | 12625 Lee Hwy, A, Washington, VA 22747-1931 |
| Christian L Co | Physical Therapy | Mountainside Physical Therapy Inc | 12625 Lee Hwy, A, Washington, VA 22747-1931 |
| Ann H Miller | Nurse Practitioner | Page Memorial Hospital, Inc | 12699 Lee Hwy, Washington, VA 22747-1931 |
| David Miller | Family Medicine | Page Memorial Hospital, Inc | 12699 Lee Hwy, Washington, VA 22747-1931 |
| Sarah K Smith | Physical Therapy | Mountainside Physical Therapy Inc | 12625 Lee Hwy, A, Washington, VA 22747-1931 |
| Angela Fox | Nurse Practitioner | Page Memorial Hospital, Inc | 12699 Lee Hwy, Washington, VA 22747-1931 |
| Kay S Beatty | Registered Dietitian Or Nutrition Professional | Mountainside Physical Therapy Inc | 12625 Lee Hwy, A, Washington, VA 22747-1931 |
| Stephanie Renae Phillips | Nurse Practitioner | Page Memorial Hospital, Inc | 12699 Lee Hwy, Washington, VA 22747-1931 |
| Find all physicians in zip 22747 | |||
| City | WASHINGTON |
| Zip Code | 22747 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WASHINGTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jerry 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.