Active NPI
Leigh Ann Martin, PA-C
- Medical Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1114166105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2017
- Practice address
- 3601 NW 138TH St
Suite 200
Oklahoma City, OK 73134-2513 - Phone
- (405) 242-4100
- Fax
- (405) 775-9350
- NPI assigned
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2017 | OK | Primary |
Addresses
Primary practice location
3601 NW 138TH St
Suite 200
Oklahoma City, OK 73134-2513
Mailing address
PO Box 108835
Oklahoma City, OK 73101-8835
Phone (405) 775-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017 | OK | MD | Hand Occupational Therapist |
| TC008 | KY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1114166105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108835",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731018835",
"telephone_number": "405-775-9350",
"fax_number": "405-775-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 NW 138TH ST",
"address_2": "SUITE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731342513",
"telephone_number": "405-242-4100",
"fax_number": "405-775-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LEIGH",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "2017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.