Jennifer Lynn Martin, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004665 Issued in MI

Practice address

34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093

Phone

(248) 900-1555

Fax

(248) 516-5017

NPI assigned

Apr 20, 2007

Last updated

Feb 27, 2024By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, FL2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ayman Tarabishy MD PLLCGroup PAC ID 0446521850, 6 clinicians

Neurosurgery and Spine Care PLLCGroup PAC ID 3870907504, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.martin.1@24274.direct.athenahealth.com

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.

• Ayman Tarabishy MD PLLC

  dba Enhance Center for Interventional Spine and Sports

  • Pain Medicine (Anesthesiology) Physician
  • Livonia, MI
  • NPI 1548624984
  Medicare reassignment Care Compare group
• Neurosurgery and Spine Care PLLC

  • Neurological Surgery Physician
  • Farmington Hills, MI
  • NPI 1144818436
  Medicare reassignment Care Compare group
• Florida Pain and Rehabilitation Associates Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1902064876
  Medicare reassignment
• Ayman Tarabishy MD PLLC

  dba Enhance Center for Interventional Spine and Sports

  • Durable Medical Equipment & Medical Supplies
  • Clinton Township, MI
  • NPI 1407586134
  NPD
• Neurosurgery and Spine Care PLLC

  dba Enhance Center for Interventional Spine and Sports

  • Durable Medical Equipment & Medical Supplies
  • Clinton Township, MI
  • NPI 1063386936
  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1598347726
  NPD
• Florida Pain and Rehabilitation Associates Inc

  dba Nuerosurgery of Central Florida

  • Neurological Surgery Physician
  • Lake Mary, FL
  • NPI 1902486939
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1225256928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30148",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152053",
            "telephone_number": "888-488-8289",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34020 7 MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523093",
            "telephone_number": "248-900-1555",
            "fax_number": "248-516-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42645 Garfield Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480385022",
            "country_code": "US",
            "telephone_number": "586-286-7246",
            "fax_number": "586-329-4757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9108374",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225256928",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.martin.1@24274.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34020 7 Mile Rd Ste 101",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481523093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Lynn Marston-Foucher, O.D.
• Alexandra Martella, D.D.S
• Jacque Lynne Martin-Downs, MSW
• Brittany Martin
• Douglas E Martin, CCP
• Kayla Martin
• Rhane Martin, PT, DPT, CSCS
• Nazly Martinez Martinez
• Araisa B Martinez
• Icelle Grace Villanueva Martinez, PT, DPT

• Physician Assistant in Livonia, MI
• Providers in Livonia, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.