Mark L Martinez (NPI# 1508861964, PAC ID# 7911942909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1508861964 |
PAC ID by PECOS | 7911942909 |
Professional Enrollment ID | I20050621000457 |
Full Name | Mark L Martinez |
Organization Legal Name | SILVERTON GROUP LLC |
Address |
401 S 400 Bountiful UT 84010-4933 |
Phone Number | 8012952361 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | PULMONARY DISEASE |
Group Practice PAC ID | 5395884019 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
Address | Phone | Organization |
---|---|---|
401 S 400, Bountiful, UT 84010-4933 | 8012952361 | SILVERTON GROUP LLC |
8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 8014087100 | SILVERTON GROUP LLC |
Organization Legal Name | SILVERTON GROUP LLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adiseshu V Gundlapalli | Infectious Disease | Silverton Group LLC | 401 S 400, Bountiful, UT 84010-4933 |
William Harmon Tettelbach | Infectious Disease | Silverton Group LLC | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 |
Rena Davies Holverson | Nurse Practitioner | Silverton Group LLC | 401 S 400, Bountiful, UT 84010-4933 |
Anthony Glen Edwards | Internal Medicine | Silverton Group LLC | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 |
Branden D Rosenhan | Internal Medicine | Silverton Group LLC | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 |
Street Address |
401 S 400 |
City | BOUNTIFUL |
State | UT |
Zip | 84010-4933 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adiseshu V Gundlapalli | Infectious Disease | Silverton Group LLC | 401 S 400, Bountiful, UT 84010-4933 |
Rena Davies Holverson | Nurse Practitioner | Silverton Group LLC | 401 S 400, Bountiful, UT 84010-4933 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
Find all physicians in zip 84010 |
City | BOUNTIFUL |
Zip Code | 84010 |
Specialty | INTERNAL MEDICINE |
City + Specialty | BOUNTIFUL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark L Martinez.
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.