Amanda S Martin (NPI# 1952690588, PAC ID# 7911171822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952690588 |
| PAC ID by PECOS | 7911171822 |
| Professional Enrollment ID | I20111110000392 |
| Full Name | Amanda S Martin |
| Organization Legal Name | ADO INC |
| Address |
2131 Jacksboro Pike La Follette TN 37766-3003 |
| Phone Number | 4232598661 |
| Gender | F |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335485309 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440057 | CLAIBORNE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2131 Jacksboro Pike, La Follette, TN 37766-3003 | 4232598661 | ADO INC |
| 951 N Broad St, Tazewell, TN 37879-4323 | 4232598661 | ADO INC |
| Organization Legal Name | ADO INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica R Warren | Nurse Practitioner | Ado Inc | 2975 Maynardville Hwy, Maynardville, TN 37807-3260 |
| Heather Hunley | Nurse Practitioner | Ado Inc | 951 N Broad St, Tazewell, TN 37879-4323 |
| Street Address |
2131 JACKSBORO PIKE |
| City | LA FOLLETTE |
| State | TN |
| Zip | 37766-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra F Verna | Nurse Practitioner | 300 Beech St, Suite 1, Lafollette, TN 37766 | |
| Thomas L Cohen | Diagnostic Radiology | 945 E Central Ave, Lafollette, TN 37766 | |
| Todd Clifford Giesecke | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 919 E Central Ave, Lafollette, TN 37766-2055 |
| Todd B Nidiffer | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia, P.C. | 919 E Central Ave, Lafollette, TN 37766-2055 |
| Sharon E Kapp | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Leah Mcconoughey | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Amy L Crabtree | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Kevin O'reilly | Nurse Practitioner | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| James A Bowen | Nurse Practitioner | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Okon Atte Enyenihi | Psychiatry | Mental Health Centers and Clinics of Tennessee | 110 N Tennessee Ave, Lafollette, TN 37766-2488 |
| Find all physicians in zip 37766 | |||
| City | LA FOLLETTE |
| Zip Code | 37766 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LA FOLLETTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda S 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.