Dr. Amanda Deann Martin
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
2004 Hayes St Ste 200
Nashville
, Tennessee 37203-2689
Dr. Amanda Deann Martin
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
2004 Hayes St Ste 200
Nashville
, Tennessee 37203-2689
(918) 681-6804
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Amanda Deann Martin
- 101 Rockefeller Dr Suite 101
- Muskogee, OK
- Zip : 74401-5056
- Fax : (918) 681-6804
- Phone : (918) 684-2663
Second Address
- Dr. Amanda Deann Martin
- 2004 Hayes St Ste 200
- Nashville, TN
- Zip : 37203-2689
- Fax : (615) 324-1661
- Phone : (615) 324-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 5695 | OK |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2782 | TN |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 5695 | OK |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DO1125 | AL |
National Provider Identifier
| NPI | 1134324825 |
|---|---|
| Provider Name | Dr. Amanda Deann Martin |
| First Address | Muskogee, OK 74401-5056 |
| Second Address | Nashville, TN 37203-2689 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2007 |
| Last Update Date | 11/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1134324825 | (05) | AL |
| 200583770A | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.