Jose Ricardo Martinez (NPI# 1154358638, PAC ID# 8921918426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154358638 |
| PAC ID by PECOS | 8921918426 |
| Professional Enrollment ID | I20070705000611 |
| Full Name | Jose Ricardo Martinez |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
1220 N Pacific St Mineola TX 75773-1054 |
| Phone Number | 9035696124 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451380 | EAST TEXAS MEDICAL CENTER QUITMAN |
| 450083 | EAST TEXAS MEDICAL CENTER |
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1220 N Pacific St, Mineola, TX 75773-1054 | 9035696124 | ETMC PHYSICIAN GROUP, INC. |
| 1220 N Pacific St, Ut Health E Tx Quitman Hospital, Mineola, TX 75773-1054 | 9035696124 | QUITMAN HOSPITAL LLC |
| 117 N Winnsboro St, Ut Health E Tx Quitman Hospital, Quitman, TX 75783-2144 | 9037636220 | QUITMAN HOSPITAL LLC |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
| Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
| Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
| Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
| Lori Fuquay | Nurse Practitioner | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
| Michael Jason Chastant | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
| Street Address |
1220 N PACIFIC ST |
| City | MINEOLA |
| State | TX |
| Zip | 75773-1054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Mark Hawari | Optometry | 1238 N Pacific St, Mineola, TX 75773-1002 | |
| Charles P Mcgonagill | Optometry | J. Carl Norris, Od PC | 1238 N Pacific St, Mineola, TX 75773-1002 |
| Diana C Bankhead | General Practice | 139 Maxine St, Mineola, TX 75773-1011 | |
| Jamie Johnson | Nurse Practitioner | Trinity Clinic | 1302 N Pacific St, Christus Trinity Clinic, Mineola, TX 75773-1022 |
| Teri Curington | Nurse Practitioner | 320 Greenville Ave, Mineola, TX 75773-1032 | |
| Johnny A Colegrove | Chiropractic | 1044 N Pacific St, Mineola, TX 75773-1838 | |
| Robert M Elliott | Family Medicine | 415 W Kilpatrick, Mineola, TX 75773-2032 | |
| Danielle Gloster | Optometry | 135 Ne Loop, 564 Vision Center, Mineola, TX 75773-2913 |
| City | MINEOLA |
| Zip Code | 75773 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MINEOLA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jose Ricardo 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.