Michael M Martin (NPI# 1528005840, PAC ID# 5799794293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1528005840 |
| PAC ID by PECOS | 5799794293 |
| Professional Enrollment ID | I20090218000201 |
| Full Name | Michael M Martin |
| Organization Legal Name | AMS SOUTHEAST LLC |
| Address |
2260 Wrightsboro Rd Augusta GA 30904-4764 |
| Phone Number | 7064817000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3870880792 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110125 | FAIRVIEW PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 7064817000 | AMS SOUTHEAST LLC |
| Organization Legal Name | AMS SOUTHEAST LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Shea Diruzzo | Anesthesiology | Ams Southeast LLC | 830 Eagle's Landing Pkwy, Suite 101, Stockbridge, GA 30281-7366 |
| Carla F Duffie | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2460 Washington Rd Ne, Thomson, GA 30824-6600 |
| Catherine A Landry Arseneault | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Kevin C Thompson | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Aaron T Street | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Michael T Lama | Anesthesiology | Ams Southeast LLC | 2460 Washington Rd Ne, Thomson, GA 30824-6600 |
| Clare D Heidler | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Jada A Lee | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| David J Derosso | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Jonathan C Griggs | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2460 Washington Rd Ne, Thomson, GA 30824-6600 |
| Street Address |
2260 WRIGHTSBORO RD |
| City | AUGUSTA |
| State | GA |
| Zip | 30904-4764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Denmark | Podiatry | 2260 Wrightsboro Rd, Suite 154, Augusta, GA 30904-4764 | |
| Kevin C Thompson | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Aaron T Street | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| David H Gorney | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| David J Drolte | Anesthesiology Assistant | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Donna M Smith | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Nicholas A Deangelo | Anesthesiology | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Joshua R Gibbs | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Kamela D Coleman | Anesthesiology | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Donald R Hill | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Calvin Jackson | Internal Medicine | Csra Medical Associates | 2123 Wrightsboro Rd, Augusta, GA 30904-2304 |
| Doris Elizabeth Tummillo | Cardiovascular Disease (cardiology) | 2050 Walton Way, Augusta, GA 30904-2305 | |
| Zulfiqar Ahmed | Internal Medicine | 2316 Wrightsboro Rd, Augusta, GA 30904-2316 | |
| Robert E Milhous | Chiropractic | 2321 Washington Rd, Augusta, GA 30904-3105 | |
| Joseph Waldo Griffin Jr. | Gastroenterology | Harrisburg Family Health Care, Inc. | 423 Crawford Ave, Augusta, GA 30904-3641 |
| Terrence James Cook | Allergy/immunology | Harrisburg Family Health Care, Inc. | 423 Crawford Ave, Augusta, GA 30904-3641 |
| Carol Collica | Physical Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Anne Griffith | Physical Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Monica K Ridlehoover | Occupational Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Judith C Bierman | Physical Therapy | Neuro-developmental Treatment Programs, Inc. | 817 Crawford Ave, Augusta, GA 30904-3772 |
| Find all physicians in zip 30904 | |||
| City | AUGUSTA |
| Zip Code | 30904 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | AUGUSTA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Michael M 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.