Elizabeth S Martin (NPI# 1942394689, PAC ID# 5294838041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1942394689 |
| PAC ID by PECOS | 5294838041 |
| Professional Enrollment ID | I20070315000132 |
| Full Name | Elizabeth S Martin |
| Organization Legal Name | PURE DERMATOLOGY AND AESTHETICS, PC |
| Address |
5346 Stadium Trace Pkwy Suite 100 Hoover AL 35244-4583 |
| Phone Number | 2056828022 |
| Gender | F |
| Credential | MD |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5092966747 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010104 | GRANDVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5346 Stadium Trace Pkwy, Suite 100, Hoover, AL 35244-4583 | 2056828022 | PURE DERMATOLOGY AND AESTHETICS, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 94% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% |
| Organization Legal Name | PURE DERMATOLOGY AND AESTHETICS, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danette D Bentley | Dermatology | Pure Dermatology and Aesthetics, PC | 5346 Stadium Trace Pkwy, Suite 100, Hoover, AL 35244-4583 |
| Ross S Hendricks | Nurse Practitioner | Pure Dermatology and Aesthetics, PC | 5346 Stadium Trace Pkwy, Suite 100, Hoover, AL 35244-4583 |
| Street Address |
5346 STADIUM TRACE PKWY SUITE 100 |
| City | HOOVER |
| State | AL |
| Zip | 35244-4583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danette D Bentley | Dermatology | Pure Dermatology and Aesthetics, PC | 5346 Stadium Trace Pkwy, Suite 100, Hoover, AL 35244-4583 |
| Ross S Hendricks | Nurse Practitioner | Pure Dermatology and Aesthetics, PC | 5346 Stadium Trace Pkwy, Suite 100, Hoover, AL 35244-4583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary M Bullock | Family Practice | 430 Emory Dr, Suite 700, Hoover, AL 35244 | |
| Christine D White | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Mark H Burge | Psychologist, Clinical | Plaza, Suite 115, Hoover, AL 35244 | |
| Lynn S Hammonds | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Bonnie-kim Schwertz | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Victoria H Hines | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Catherine S Amos | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Teresa L Henderson | Physician Assistant | Riverchase Urgent Care | 1924 Montgomery S Hwy, Hoover, AL 35244-1141 |
| Robert E Agee | Family Medicine | 1849 Data Dr, Suite 1, Hoover, AL 35244-1202 | |
| Edwyn L Boyd | Otolaryngology | Hoover Ear, Nose and Throat Associates, P.C. | 2116 Data Park, Birmingham, AL 35244-1203 |
| Find all physicians in zip 35244 | |||
| City | HOOVER |
| Zip Code | 35244 |
| Specialty | DERMATOLOGY |
| City + Specialty | HOOVER + DERMATOLOGY |
Please comment or provide details below to improve the information on Elizabeth S 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.