Active NPI
Paige Martin
- Physician Assistant
- Frisco, TX
National Provider Identifier
1154075315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5575 Warren Pkwy
Professional Building 1, Suite 304
Frisco, TX 75034 - Phone
- (940) 577-2090
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5575 Warren Pkwy
Professional Building 1, Suite 304
Frisco, TX 75034
Mailing address
5575 Warren Pkwy
Professional Building 1, Suite 304
Frisco, TX 75034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241219000769 | TX | Practitioner - Physician Assistant | 0749717452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCGGDD/Endpoint/GCGGDD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1154075315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 WARREN PKWY",
"address_2": "PROFESSIONAL BUILDING 1, SUITE 304",
"city": "FRISCO",
"state": "TX",
"postal_code": "75034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 WARREN PKWY",
"address_2": "PROFESSIONAL BUILDING 1, SUITE 304",
"city": "FRISCO",
"state": "TX",
"postal_code": "75034",
"telephone_number": "940-577-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.