1. Home
  2. Directory
  3. Arkansas
  4. Jonesboro
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SAMUEL DAVID MARTIN DO
NPI 1033907589
Student in an Organized Health Care Education/Training Program in Jonesboro, AR

Active since April 25, 2025
4800 E JOHNSON AVE, JONESBORO, AR 72405(870) 936-1000(870) 936-1000 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel David Martin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL DAVID MARTIN DO (NPI 1033907589) is an individual student in an organized health care education/training program in Jonesboro, Arkansas and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1033907589
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL DAVID MARTINCredential: DO
Location Address4800 E JOHNSON AVEJonesboro, AR 72405-8413
Mailing Address4800 E Johnson AveJonesboro, AR 72405-8413 · (870) 936-1000 · Fax (870) 936-1000
Phone(870) 936-1000
Fax(870) 936-1000
Sole ProprietorYes
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1033907589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4800 E JOHNSON AVE, Jonesboro, AR 72405
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REFAYAT AHSEN MD
Internal Medicine
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (865) 684-0799
JARRYD A DEMPSEY PT
Physical Therapist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-8000
DR. FAHAD KHAN DO
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
WILLIAM B ROTH DO
Hospitalist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
RANYA HAIDAR AL-KHAFAJI MD
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
KATIE JUSTINE CRISMAN CRNA
Nurse Anesthetist, Certified Registered
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
MR. PHILLIP WAYNE STOKES JR. FNP-C
Nurse Practitioner (Family)
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-8000
DR. OLGA JATSKEVICH MD
Hospitalist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Martin's NPI number?

The NPI number for Samuel Martin is 1033907589. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Samuel Martin located?

Samuel Martin practices at 4800 E Johnson Ave, Jonesboro, AR 72405. The listed phone number is (870) 936-1000.

What is Samuel Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Martin was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.