Robert J Martin (NPI# 1407918352, PAC ID# 6608890769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1407918352 |
| PAC ID by PECOS | 6608890769 |
| Professional Enrollment ID | I20071112000586 |
| Full Name | Robert J Martin |
| Organization Legal Name | MEMORIAL HEALTH SYSTEMS INC |
| Address |
305 Clyde Morris Blvd Suite 130 Ormond Beach FL 32174-8182 |
| Phone Number | 3866776727 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 9739081142 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100118 | FLORIDA HOSPITAL FLAGLER |
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| Address | Phone | Organization |
|---|---|---|
| 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174-8182 | 3866776727 | MEMORIAL HEALTH SYSTEMS INC |
| Organization Legal Name | MEMORIAL HEALTH SYSTEMS INC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelic Alvarez | Family Medicine | Memorial Health Systems Inc | 1050 W Granada Blvd, Suite 2a, Ormond Beach, FL 32174-8155 |
| Sherica A. Shapaka | Nurse Practitioner | Memorial Health Systems Inc | 305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5137 |
| Narges Mazloom | Otolaryngology | Memorial Health Systems Inc | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 |
| Lisa M Gonsalves | Family Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Luther St James Iii | Family Medicine | Memorial Health Systems Inc | 1890 Lpga Blvd, Suite 170, Daytona Beach, FL 32117-7131 |
| Joshua R Eisenhut | Family Medicine | Memorial Health Systems Inc | 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117-5169 |
| Patrick Terry Mangonon | Thoracic Surgery | Memorial Health Systems Inc | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 |
| Christian L Birkedal | General Surgery | Memorial Health Systems Inc | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 |
| Rebecca A Peck | Family Medicine | Memorial Health Systems Inc | 305 Memorial Medical Pkwy, Suite 401, Daytona Beach, FL 32117-5169 |
| Vartan Karakossian | Family Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Street Address |
305 CLYDE MORRIS BLVD SUITE 130 |
| City | ORMOND BEACH |
| State | FL |
| Zip | 32174-8182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Sevigny | Dermatology | Gina Sevigny M D P A | 305 Clyde Morris Blvd, Suite 150, Ormond Beach, FL 32174-8186 |
| Gregory James Velat | Neurosurgery | Memorial Health Systems Inc | 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174-8182 |
| Scott E Okarski | Chiropractic | 305 Clyde Morris Blvd, Suite 120, Ormond Beach, FL 32174-8181 | |
| Kathleen S Mclaughlin | Nurse Practitioner | Gina Sevigny M D P A | 305 Clyde Morris Blvd, Suite 150, Ormond Beach, FL 32174-8186 |
| Reena Sachdev | Dermatology | Gina Sevigny M D P A | 305 Clyde Morris Blvd, Suite 150, Ormond Beach, FL 32174-8186 |
| Terri L Bianchi | Nurse Practitioner | Gina Sevigny M D P A | 305 Clyde Morris Blvd, Suite 150, Ormond Beach, FL 32174-8186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Van Ost | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Douglas Brian Hill | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Dennis Kee | Physician Assistant | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Therese A Ibrahim | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Zaw Myint | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Teresa Ann Bowers | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Brian Hockensmith | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Maria Gontcharova | Internal Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Mary K Collins | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Ruben D Sierra | Hematology/oncology | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Find all physicians in zip 32174 | |||
| City | ORMOND BEACH |
| Zip Code | 32174 |
| Specialty | NEUROSURGERY |
| City + Specialty | ORMOND BEACH + NEUROSURGERY |
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| 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.