Peter A Martina, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS004282L Issued in PA

Practice address

67 E Pike St
Canonsburg, PA 15317-1311

Phone

(724) 745-4100

Fax

(745) 746-9880

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• Upmc Washington

  • Family Medicine Physician
  • Washington, PA
  • NPI 1922077205
  NPD

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1124087119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "BLDG 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-223-3100",
            "fax_number": "724-223-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171311",
            "telephone_number": "724-745-4100",
            "fax_number": "745-746-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINA",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004282L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "102357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P001172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010140650001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "114908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000100946",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryl Y Makishi, D.O.
• Jonah Alexander Manalo, DMD
• Mane Difference Counseling Services LLC
• Natalie Marie Mannino, CRNP
• Jacquelyn McClain Marshall, NP
• Dandrae Matthews, LMT
• Alyson Marie Maund, M.S., CCC-SLP
• Mayberry and Kubli Orthodontics LLC
• Alaina Maynard
• MB Integrative Mental Health, PC

• Family Medicine Physician in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.