Nicholette Martin-Davis MD LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

D0050415 Issued in MD

Legal business name

NICHOLETTE MARTIN-DAVIS MD LLC

Practice address

4000 Mitchellville Rd
Suite B322
Bowie, MD 20716-3104

Phone

(301) 860-0305

Fax

(301) 860-0307

NPI assigned

Apr 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholette Martin-Davis, MD

Title

Owner

Phone

(301) 860-0305

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholette M. Martin, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bowie, MD
  • NPI 1578561098
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1194998559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE B322",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-860-0305",
            "fax_number": "301-860-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE B322",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-860-0305",
            "fax_number": "301-860-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLETTE MARTIN-DAVIS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN-DAVIS",
        "authorized_official_first_name": "NICHOLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-860-0305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0050415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhome Physiotherapists LLC
• Gladys Niba
• Morfaw Nichodemus Kungang
• Morgan Nicholas
• Nicholette Martin LLC
• Theresa Nicol, MD
• Nicole Rudd, LCPC
• Frank Niiquaye, NP
• Remond Njang
• Thecla Njanjo

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.