Luis Martinez, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA002076L Issued in PA

Practice address

798 Hausman Rd
Suite 240
Allentown, PA 18104-9108

Phone

(484) 223-3300

Fax

(484) 223-3464

NPI assigned

Oct 26, 2005

Last updated

May 1, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Lehigh Valley Cardio Diagnostics PC

  • Cardiovascular Disease Physician
  • Allentown, PA
  • NPI 1386738326
  NPD (past)
• Sacred Heart Healthcare System

  dba Oakwood Medical Center

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1053373548
  NPD (past)
• Sacred Heart Healthcare System

  dba Sacred Heart Medical Associates

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1376533281
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1164412524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E BROAD ST",
            "address_2": "2ND FLR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-954-6048",
            "fax_number": "610-954-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 HAUSMAN RD",
            "address_2": "SUITE 240",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049108",
            "telephone_number": "484-223-3300",
            "fax_number": "484-223-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LUIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA002076L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Martinez, MS
• Denise Martinez, CRNP
• Gregorio Martinez
• Javier Ernesto Martinez, MD
• Joanna Martinez, M.S.W.
• Mercedes Maries Martinez, LSW
• Mia Felice Martinez, NP
• Phia Martinez, MD
• Valery Esther Martinez
• Victoria Lynn Martino, MD

• Surgical Physician Assistant in Allentown, PA
• Providers in Allentown, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.

Verify at the official NPI Registry.