Shane D Martin (NPI# 1386872588, PAC ID# 6507001906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1386872588 |
| PAC ID by PECOS | 6507001906 |
| Professional Enrollment ID | I20130405000075 |
| Full Name | Shane D Martin |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Address |
609 Quarter St Gladwin MI 48624-1941 |
| Phone Number | 9897945200 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2264323633 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230222 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| 231325 | MIDMICHIGAN MEDICAL CENTER-GLADWIN |
| 230180 | MIDMICHIGAN MEDICAL CENTER-CLARE |
| 230036 | MIDMICHIGAN MEDICAL CENTER - ALPENA |
| 230030 | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| Address | Phone | Organization |
|---|---|---|
| 515 Quarter St, Gladwin, MI 48624-1959 | 9894269286 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| 609 Quarter St, Gladwin, MI 48624-1941 | 9897945200 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| 4000 Wellness Dr, Midland, MI 48670-2000 | MIDMICHIGAN MEDICAL CENTER-MIDLAND | |
| 4009 Orchard Dr, Midland, MI 48640-6122 | 9898393510 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Physicians | 221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Landon Smith | Nurse Practitioner | Midmichigan Medical Center-midland | 5694 Midland Rd, Freeland, MI 48623-8845 |
| Lisa L Miller | Nurse Practitioner | Midmichigan Medical Center-midland | 4000 Wellness Dr, Midland, MI 48670-2000 |
| Kyle Williams | Family Medicine | Midmichigan Medical Center-midland | 4611 Campus Ridge Dr, Midland, MI 48670-9533 |
| Maria Cristina C Chan | Internal Medicine | Midmichigan Medical Center-midland | 4401 N Campus Rdg Dr, Midland, MI 48640-6112 |
| Jacquelyn N Prokop | Physician Assistant | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Carolyn W Swenson | Obstetrics/gynecology | Midmichigan Medical Center-midland | 4300 Campus Ridge Dr, Midland, MI 48640-6104 |
| Jeffrey D Martindale | Cardiovascular Disease (cardiology) | Midmichigan Medical Center-midland | 301 W Wackerly St, Midland, MI 48640-2761 |
| Amanda Alvelo Malina | Obstetrics/gynecology | Midmichigan Medical Center-midland | 4320 Campus Ridge Dr, Midland, MI 48640-6104 |
| Mark D Horness | General Surgery | Midmichigan Medical Center-midland | 2431 S M, Suite 30, West Branch, MI 48661-9312 |
| William R Felten | Interventional Cardiology | Midmichigan Medical Center-midland | 602 Beech St, Clare, MI 48617-1466 |
| Street Address |
609 QUARTER ST |
| City | GLADWIN |
| State | MI |
| Zip | 48624-1941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaid Al-rufaye | Internal Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Ben Mayne Iii | Orthopedic Surgery | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Philip A Harris | Otolaryngology | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Sergio Andres Montoya | Internal Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Daniel Louis Maxwell | Pulmonary Disease | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Jeffrey C Stone | Podiatry | 609 Quarter St, Gladwin, MI 48624-1941 | |
| Jeffery A Kwiatkowski | Physician Assistant | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Zaid S Qaraghan | Internal Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Nicholas David Post Vasold | Podiatry | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Kendrick Weber | Physician Assistant | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet E Flynn | Nurse Practitioner | Spring Street Family Practice | 1207 N Spring St, Gladwin, MI 48624-1040 |
| Mary Bosman | Nurse Practitioner | Spring Street Family Practice | 1207 N Spring St, Gladwin, MI 48624-1040 |
| Joshua Owen Rashott | Chiropractic | My Family Chiropractor PC | 120 Commerce Ct, Gladwin, MI 48624-1220 |
| Albert Peter Sawaya | Chiropractic | My Family Chiropractor PC | 120 Commerce Ct, Gladwin, MI 48624-1220 |
| Fawaz Alsmaan | Internal Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Cynthia M Lamb | Physician Assistant | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Otto Leiti | Internal Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Rhonda S Keller | Nurse Practitioner | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| David W Jordahl | Family Medicine | Midmichigan Physicians Group | 609 Quarter St, Gladwin, MI 48624-1941 |
| Sara A Sisco | Nurse Practitioner | Midmichigan Medical Center-midland | 609 Quarter St, Gladwin, MI 48624-1941 |
| Find all physicians in zip 48624 | |||
| City | GLADWIN |
| Zip Code | 48624 |
| Specialty | GENERAL SURGERY |
| City + Specialty | GLADWIN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Shane D 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.