| Karen M Martin, CNP | |
|
3301 Dayton Xenia Rd Ste 200, Beavercreek, OH 45432-2759 | |
| (937) 641-5098 | |
| (937) 912-9395 |
| Full Name | Karen M Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 3301 Dayton Xenia Rd Ste 200, Beavercreek, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174616486 | NPI | - | NPPES |
| 2697710 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.09018 (Ohio) | Primary |
| Entity Name | Dayton Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480030 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
| Entity Name | Blanchard Valley Medical Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962501627 PECOS PAC ID: 9234168147 Enrollment ID: O20050811000177 |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen M Martin, CNP Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Karen M Martin, CNP 3301 Dayton Xenia Rd Ste 200, Beavercreek, OH 45432-2759 Ph: (937) 641-5098 |
Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103 | |
Brandy L Mullett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd # 1157, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459 | |
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 | |
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280 | |
Ellen K Ratay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440 Phone: 937-320-5050 Fax: 937-320-5060 | |
Laura Busteed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270 | |
Sheryl Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-558-3067 |