Phillip A Martin (NPI# 1225369440, PAC ID# 7315076437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1225369440 |
| PAC ID by PECOS | 7315076437 |
| Professional Enrollment ID | I20100528000354 |
| Full Name | Phillip A Martin |
| Organization Legal Name | WPS PROVIDERS INC |
| Address |
240 Medical Park Blvd Suite 2400 Bristol TN 37620-7354 |
| Phone Number | 4239902370 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7719079532 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| 150082 | DEACONESS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Blvd, Bristol, TN 37620-7430 | 4238441121 | BRISTOL ANESTHESIA SERVICES PC |
| 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 | 4239902370 | WPS PROVIDERS INC |
| 600 Mary St, Evansville, IN 47710-1658 | 8124507299 | DEACONESS HOSPITAL INC |
| 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 8124507338 | DEACONESS HOSPITAL INC |
| Organization Legal Name | WPS PROVIDERS INC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey E Capell | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
| Jon William Taveau | Neurosurgery | Wps Providers Inc | 2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 |
| Cassondra Nichole Compton | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Pamela S Earles | Nurse Practitioner | Wps Providers Inc | 1341 E Main St, Rogersville, TN 37857-2940 |
| Stacey A Ryder | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Joseph A Brombach | Family Medicine | Wps Providers Inc | 1519 Main St, Sneedville, TN 37869-3657 |
| Steven J Baumrucker | Family Medicine | Wps Providers Inc | 1905 American Way, Kingsport, TN 37660-5882 |
| Jean M Mancini | Internal Medicine | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| George M Testerman Jr. | General Surgery | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Kendra Ervin Mcreynolds | Physical Therapy | Wps Providers Inc | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 |
| Street Address |
240 MEDICAL PARK BLVD SUITE 2400 |
| City | BRISTOL |
| State | TN |
| Zip | 37620-7354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Brockmyre | Internal Medicine | Holston Medical Group PC | 240 Medical Park Blvd, Bristol, TN 37620-7346 |
| Jean M Mancini | Internal Medicine | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Dallas Shone | Gastroenterology | Holston Medical Group PC | 240 Medical Park Blvd, Suite 3700, Bristol, TN 37620-7350 |
| Thomas Makres | Pediatric Medicine | Holston Medical Group PC | 240 Medical Park Blvd, Suite 1700, Bristol, TN 37620-7346 |
| Donovan Dean Wilson | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Benjamin Daniel Whitfield | Family Medicine | Holston Medical Group PC | 240 Medical Park Blvd, Suite 1700, Bristol, TN 37620-7346 |
| Jennifer E Mays | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Abram Arwood | Physical Therapy | Holston Medical Group PC | 240 Medical Park Blvd, Bristol, TN 37620-7347 |
| Ashraf Youssef | Orthopedic Surgery | Holston Medical Group PC | 240 Medical Park Blvd, Suite 1500, Bristol, TN 37620-7353 |
| Jessie L Thomas | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Fowler | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Tara D Spurling | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Stacie L Mccray | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Cynthia L Mcglothlin | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Nyela Aldridge Edwards | Certified Nurse Midwife (cnm) | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey A Mcqueary | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Autumn R Hoover | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Alyssa Nicole Phelps | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey R Looney | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Lynn H Couch | Certified Registered Nurse Anesthetist (crna) | Innovative Surgical Solutions, Pllc | 3185 W State St, Suite 2020, Bristol, TN 37620-1600 |
| Find all physicians in zip 37620 | |||
| City | BRISTOL |
| Zip Code | 37620 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BRISTOL + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Phillip A 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.