Wallis H Martz, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

50413 Issued in TN

Practice address

2339 McCallie Ave
Suite 309
Chattanooga, TN 37404-3256

Phone

(423) 698-0850

Fax

(423) 698-0511

NPI assigned

Jul 19, 2005

Last updated

Aug 17, 2011By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cardiovascular Group, PC

  dba Chattanooga Heart Institute

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1912906181
  NPD (past)
• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

  • Interventional Pain Medicine Physician
  • Chattanooga, TN
  • NPI 1447203922
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1154320422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE",
            "address_2": "SUITE 309",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043256",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE",
            "address_2": "SUITE 309",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043256",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "WALLIS",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "50413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00435620",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BCBS",
            "identifier": "4156507",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33491821",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Meitin Martinez, MD
• Maria Martinez, DNP MSNFNP-C
• Danielle H Martini
• Christine M Martins, CRNA
• J Paul Martz, D.O.
• Viktoriya Marushka
• Kayley Grace Marvel
• Meredith Mashburn, NNP-BC
• Dana Masic II, PTA
• Paige Maskarinec, PT

• Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.