Robert M Martino (NPI# 1467470062, PAC ID# 8820282254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PREVENTATIVE MEDICINE.
| Nation Provider ID (NPI) | 1467470062 |
| PAC ID by PECOS | 8820282254 |
| Professional Enrollment ID | I20171020002949 |
| Full Name | Robert M Martino |
| Organization Legal Name | GRAND AVENUE URGENT CARE LLC |
| Address |
3236 E Grand Ave Suite D Laramie WY 82070-5100 |
| Phone Number | 3077608602 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 4385936244 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 530025 | IVINSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3236 E Grand Ave, Suite D, Laramie, WY 82070-5100 | 3077608602 | GRAND AVENUE URGENT CARE LLC |
| Organization Legal Name | GRAND AVENUE URGENT CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Lerory Sanders | Nurse Practitioner | Grand Avenue Urgent Care LLC | 3236 E Grand Ave, Suite D, Laramie, WY 82070-5100 |
| John F Jacobs Iii | Nurse Practitioner | Grand Avenue Urgent Care LLC | 3236 E Grand Ave, Suite D, Laramie, WY 82070-5100 |
| Street Address |
3236 E GRAND AVE SUITE D |
| City | LARAMIE |
| State | WY |
| Zip | 82070-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Lerory Sanders | Nurse Practitioner | Grand Avenue Urgent Care LLC | 3236 E Grand Ave, Suite D, Laramie, WY 82070-5100 |
| John F Jacobs Iii | Nurse Practitioner | Grand Avenue Urgent Care LLC | 3236 E Grand Ave, Suite D, Laramie, WY 82070-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles M Cupps | Chiropractic | 212 E Ivinson, Laramie, WY 82070-3039 | |
| Brent L Bondurant | Chiropractic | 212 E Ivinson Ave, Laramie, WY 82070-3039 | |
| Denise A Gill | Clinical Social Worker | 107 S 5th St, Laramie, WY 82070-3123 | |
| Shontay M Roe | Clinical Social Worker | 112 S 5th St, Laramie, WY 82070-3124 | |
| Charles W Denison | Psychologist, Clinical | 121 E Grand Ave, Suite 202, Laramie, WY 82070-3600 | |
| Larae Sue Stibitz | Clinical Social Worker | 121 E Grand Ave, Suite 216, Laramie, WY 82070-3600 | |
| Janet L Somlyay | Nurse Practitioner | 311 S 2nd St, Laramie, WY 82070-3611 | |
| Julia A Duncan | Nurse Practitioner | 502 S 4th St, Laramie, WY 82070-3704 | |
| Leah S White | Nurse Practitioner | 504 S 4th St, Laramie, WY 82070-3704 | |
| Teresa Jacobs Castano | Clinical Social Worker | 502 S 4th St, Laramie, WY 82070-3704 | |
| Find all physicians in zip 82070 | |||
| City | LARAMIE |
| Zip Code | 82070 |
| Specialty | PREVENTATIVE MEDICINE |
| City + Specialty | LARAMIE + PREVENTATIVE MEDICINE |
Please comment or provide details below to improve the information on Robert M Martino.
| 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.