Alfredo Martinez Chavira, SURGICAL ASSISTANT

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

19-461 Issued in WI

Practice address

439 Florence Ave
Dalton, GA 30720-5684

Phone

(706) 934-4096

NPI assigned

Jun 25, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alfredo Martinez Chavira Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1851136642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 FLORENCE AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205684",
            "telephone_number": "706-934-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 FLORENCE AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205684",
            "telephone_number": "706-934-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CHAVIRA",
        "first_name": "ALFREDO",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "19-461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALFREDO",
            "last_name": "MARTINEZ CHAVIRA",
            "credential": "SURGICAL ASSISTANT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Craig Marlow, D.C.
• Joseph Kyle Marlow, RPH
• Teresa F Marlow, R.PH
• Els M Martens, OT
• Judy Martin, CNM
• Jacqueline Silvia Martins Torrontegui, MD
• Alisca Brooke Massey, PTA
• Mary Megan Ayres Massey, MD
• Erin Tiffany Massie, FNP-C
• Alexandrea P Massingill, COTA/L

• Surgical Assistant in Dalton, GA
• Providers in Dalton, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.