Individual provider Active NPI

Curtis Ceasar Martinez, PA

  • Physician Assistant
  • Owasso, OK
National Provider Identifier
1073836235
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1775 Issued in OK
Practice address
8418 N 123Rd East Ave
Owasso, OK 74055-2139
Phone
(918) 858-4353
Fax
(866) 246-2942
NPI assigned
Mar 2, 2010
Last updated
Apr 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1775 OK Primary

Addresses

Primary practice location

8418 N 123Rd East Ave
Owasso, OK 74055-2139

Mailing address

8418 N 123Rd East Ave
Owasso, OK 74055-2139
Phone (918) 858-4353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000010 OK Practitioner - Physician Assistant 6204071897 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pine Ridge Mental Healthcare, LLCGroup PAC ID 2062812043, 8 clinicians
Laureate Psychiatric Clinic and Hospital IncGroup PAC ID 3971599218, 78 clinicians

Practice addresses (Care Compare)

1222 N Florence Ave
Suite D
Claremore, OK 74017-4294
Phone 9188584353102

6600 S Yale Ave
Suite 600
Tulsa, OK 74136-3363
Phone (918) 491-5990

6655 S Yale Ave
Tulsa, OK 74136-3326
Phone (918) 481-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1775OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Feb 10, 2016 Accepting new patients
Oklahoma State University CurrentSince Sep 18, 2022 Accepting new patients
Pine Ridge Mental Healthcare, LLC Physician Assistant CurrentSince Feb 2, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Grand Lake Mental Health Center Inc. CurrentSince Nov 5, 2023 Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC CurrentSince Feb 10, 2016 Accepting new patients
Generations Family Counseling Past Accepting new patients

Locations

1222 N Florence Ave
Ste D
Claremore, OK 74017
Phone (918) 341-0087

901 N Strong Blvd
McAlester, OK 74501
Phone (918) 426-0625

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

8418 N 123rd East Ave
Owasso, OK 74055
Phone (918) 858-4353

12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200

Interoperability endpoints

  • Direct secure messaging: cmartinez274437@direct.saintfrancis.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1073836235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 N 123RD EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552139",
            "telephone_number": "918-858-4353",
            "fax_number": "866-246-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 N 123RD EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552139",
            "telephone_number": "918-858-4353",
            "fax_number": "866-246-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CURTIS",
        "middle_name": "CEASAR",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.