Amanda Deann Martin in Muskogee - Sports Medicine
Amanda Deann Martin - NPI 1134324825
Amanda Deann Martin is a Sports Medicine in Muskogee, Oklahoma. Amanda Deann Martin practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Amanda Deann Martin is 1134324825. The last update date is 2021-02-11.
Amanda Deann Martin's current location address is 101 Rockefeller Dr, Muskogee, Oklahoma. You can contact this provider via phone number 9186842663 and fax number 9186816804. The mailing address for Amanda Deann Martin is 101 Rockefeller Dr, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Deann Martin |
|---|---|
| Address | 101 Rockefeller Dr, Muskogee, Oklahoma |
| Phone Number | 9186842663 |
| Fax Number | 9186816804 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1134324825 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2021-02-11 |
Provider Mailing Address Detail
| Address | 101 Rockefeller Dr |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744015056 |
| Phone Number | 9186842663 |
| Fax Number | 9186816804 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 2782 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200583770A | OK | -- | |
| 1134324825 | AL | -- |
Post Comment/ Review Below
What is the Amanda Deann Martin's unique identification number?
The Amanda Deann Martin has been assigned the NPI (National Provider Identifier) Number 1134324825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Amanda Deann Martin located?
The Amanda Deann Martin is located at 101 Rockefeller Dr, Muskogee, OK 744015056.
What is Amanda Deann Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amanda Deann Martin is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134324825 to Amanda Deann Martin?
The Centers for Medicare & Medicaid Services originally issued the 1134324825 to Amanda Deann Martin on 2007-06-20.
As of what date was the information pertaining to Amanda Deann Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Amanda Deann Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-11.
NPI Number: 1457354235
Address: Po Box 636256 Central Credentialing, Cincinnati, OH