Jessica A Martyak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003644 Issued in VA

Practice address

5665 Lowery Rd Ste 100
Norfolk, VA 23502-2220

Phone

(757) 422-2966

Fax

(757) 351-6051

NPI assigned

Aug 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1134400575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 LOWERY RD STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022220",
            "telephone_number": "757-422-2966",
            "fax_number": "757-351-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 LOWERY RD STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022220",
            "telephone_number": "757-422-2966",
            "fax_number": "757-351-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTYAK",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Martinezdelgado, IDC
• Tracy Lyn Martino
• Juliana Gevaerd Martins, M.D.
• Tyler Isaac Martinson, PHARMD, RPH, AE-C
• Jemma Charity Lucero Martires, MD
• Michael T Martyak, MD
• Felica Lastelle Marucut, AGACNP-BC
• Vidur Sushil Marwaha
• Maryview Hospital
• Yvonne L Marzett-Frisby, DDS

• Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.