Mary Sue Martin (NPI# 1245264829, PAC ID# 7214942309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245264829 |
| PAC ID by PECOS | 7214942309 |
| Professional Enrollment ID | I20080610000477 |
| Full Name | Mary Sue Martin |
| Organization Legal Name | W4P LLC |
| Address |
10461 Quality Dr Spring Hill FL 34609-9634 |
| Phone Number | 3526888200 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9931489473 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100249 | SEVEN RIVERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10461 Quality Dr, Spring Hill, FL 34609-9634 | 3526888200 | W4P LLC |
| Organization Legal Name | W4P LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl W Goodchild Iii | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Ramy Nasr | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Anthony J Cina | Family Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Ralph W Brown | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Ayman A Abdulmagid | Internal Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Reginald Sanon | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Roderick N Bennett | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Onier Villarreal Alejandro | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Joshua E Kolanko | Nurse Practitioner | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Jessica E Goldstein | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Street Address |
10461 QUALITY DR |
| City | SPRING HILL |
| State | FL |
| Zip | 34609-9634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl W Goodchild Iii | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Ramy Nasr | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Anthony J Cina | Family Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Mitchell S Halperin | Cardiovascular Disease (cardiology) | 10461 Quality Dr, Spring Hill, FL 34609-9634 | |
| Eric A Narolesky | Certified Registered Nurse Anesthetist (crna) | North Tampa Anesthesia Consultants | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Ralph W Brown | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Ayman A Abdulmagid | Internal Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Reginald Sanon | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Roderick N Bennett | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Onier Villarreal Alejandro | Emergency Medicine | W4p LLC | 10461 Quality Dr, Spring Hill, FL 34609-9634 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Lehman | Family Medicine | Osteopathic Heritage Corporation | Imdt Medcare and Fmly Doc of Sp Hill, 120 Medical Blvdsuite 103, Spring Hill, FL 34609-0221 |
| Dhammika Ekanayake | Internal Medicine | Access Health Care Physicians LLC | 120 Medical Blvd, Suite 107, Spring Hill, FL 34609-0221 |
| Juliette Marie Pistorino | Physician Assistant | Palm Harbor Dermatology Pa | 120 Medical Blvd, Suite 100, Spring Hill, FL 34609-0221 |
| Jeremy L Tharp | Family Medicine | Access Health Care Physicians LLC | 120 Medical Blvd, Suite 102, Spring Hill, FL 34609-0221 |
| Joseph C Militello | Ophthalmology | 120 Medical Blvd, Suite 101, Spring Hill, FL 34609-0221 | |
| Lingappa Amarchand | Cardiovascular Disease (cardiology) | Access Health Care Physicians LLC | 120 Medical Blvd, Suite 102, Spring Hill, FL 34609-0221 |
| Leslie A. Wagenberg-grella | General Surgery | 120 Medical Blvd, Suite 106, Spring Hill, FL 34609-0221 | |
| Mauri B Maurizio | Physician Assistant | Palm Harbor Dermatology Pa | 120 Medical Blvd, Suite 100, Spring Hill, FL 34609-0221 |
| Michelle T Stokes | Nurse Practitioner | Access Health Care Physicians LLC | 120 Medical Blvd, Suite 107, Spring Hill, FL 34609-0221 |
| Brian C Kroll | Family Medicine | Access Health Care Physicians LLC | 120 Medical Blvd, Suite 102, Spring Hill, FL 34609-0221 |
| Find all physicians in zip 34609 | |||
| City | SPRING HILL |
| Zip Code | 34609 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPRING HILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary Sue 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.