Individual provider Active NPI

John P Martin, DO

  • Family Medicine Physician
  • Waynesburg, PA
National Provider Identifier
1043265721
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S012587 Issued in PA
Practice address
220 Greene PLZ
Waynesburg, PA 15370-8144
Phone
(724) 627-8582
Fax
(724) 627-7756
NPI assigned
May 23, 2006
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0S012587 PA Primary

Addresses

Primary practice location

220 Greene PLZ
Waynesburg, PA 15370-8144

Mailing address

350 Bonar Ave
Waynesburg, PA 15370-1608
Phone (724) 627-3101

Other practice location 1

860 Rostraver Rd
Rostraver Township, PA 15012-1945
Phone (724) 929-3278

Other identifiers 1

IdentifierTypeStateIssuer
019554449MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000347 PA Practitioner - Family Practice 6608991138 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

451 Murtha Dr
Suite 100
Waynesburg, PA 15370-7007
Phone (304) 599-2273

860 Rostraver Rd
Rostraver Township, PA 15012-1945
Phone (724) 929-3278

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S012587PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 26, 2025 Accepting new patients
West Virginia University Medical Corporation Family Medicine CurrentSince Sep 26, 2025 Accepting new patients
Washington Physician Services Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Oct 4, 2017 Accepting new patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Urgent Care, PC - Pennsylvania CurrentSince Oct 4, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
SRMC Healthcare Group LLC Past Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

1440 Morrell Ave
Connellsville, PA 15425
Phone (724) 626-1347

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

860 Rostraver Rd
Rostraver Township, PA 15012
Phone (724) 929-3278

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

350 Bonar Ave
Waynesburg, PA 15370
Phone (724) 627-2606

451 Murtha Dr
Ste 100
Waynesburg, PA 15370
Phone (304) 599-2273

Interoperability endpoints

  • Direct secure messaging: jmartin21318@gohealthupmc.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1043265721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701608",
            "telephone_number": "724-627-3101",
            "fax_number": "724-627-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GREENE PLZ",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708144",
            "telephone_number": "724-627-8582",
            "fax_number": "724-627-7756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Rostraver Rd",
            "address_purpose": "LOCATION",
            "city": "Rostraver Township",
            "state": "PA",
            "postal_code": "150121945",
            "country_code": "US",
            "telephone_number": "724-929-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S012587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019554449",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.