| 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: Accepting Medicare Assignments 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  |