Wayne R Martin (NPI# 1104867621, PAC ID# 7416847140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1104867621 |
| PAC ID by PECOS | 7416847140 |
| Professional Enrollment ID | I20040317000677 |
| Full Name | Wayne R Martin |
| Organization Legal Name | POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC. |
| Address |
1100 Hollenback Ln Deer Lodge MT 59722-2317 |
| Phone Number | 4068461722 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 6103734728 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271314 | DEER LODGE MEDICAL CENTER |
| 270017 | ST JAMES HEALTHCARE |
| 271335 | COMMUNITY HOSPITAL OF ANACONDA |
| 270023 | COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Hollenback Ln, Deer Lodge, MT 59722-2317 | 4068461722 | POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC. |
| Organization Legal Name | POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith H Wilson | Internal Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Dean A Chapel | Physician Assistant | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Scot A Murray | Gastroenterology | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Vaughn T Johnson | Family Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Lori L Drumm | Family Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Summera Qamar | Family Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Carl K Schillhammer | Orthopedic Surgery | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Cynthia J Smith | Physician Assistant | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Erik N Kinzer | Nurse Practitioner | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Brett N Kronenberger | Internal Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenback Ln, Deer Lodge, MT 59722-2317 |
| Street Address |
1100 HOLLENBACK LN |
| City | DEER LODGE |
| State | MT |
| Zip | 59722-2317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett N Kronenberger | Internal Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenback Ln, Deer Lodge, MT 59722-2317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heide L Applegate | Nurse Practitioner | Cottonwood Clinic, LLC | 310 Main St, Deer Lodge, MT 59722-1000 |
| Debra J Miller | Nurse Practitioner | Cottonwood Clinic, LLC | 310 Main St, Deer Lodge, MT 59722-1000 |
| Ronda L Wangerin | Physical Therapy | 307 /2 Missouri Ave, Deer Lodge, MT 59722-1076 | |
| Judith H Wilson | Internal Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Dean A Chapel | Physician Assistant | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Douglas A Waldo | Cardiovascular Disease (cardiology) | Rchp Billings - Missoula LLC | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Eric L Stern | Pulmonary Disease | Rchp Billings - Missoula LLC | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Scot A Murray | Gastroenterology | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Vaughn T Johnson | Family Medicine | Powell County Memorial Hospital Association Inc. | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Robert L Minor Jr. | Cardiovascular Disease (cardiology) | Rchp Billings - Missoula LLC | 1100 Hollenbeck Ln, Deer Lodge, MT 59722-2317 |
| Find all physicians in zip 59722 | |||
| City | DEER LODGE |
| Zip Code | 59722 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DEER LODGE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Wayne R 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.