Individual provider Active NPI

Matthew Martin, NP-C

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1326433558
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17245-NP Issued in OH
Practice address
751 Forest Ave
Suite 402
Zanesville, OH 43701-2868
Phone
(740) 454-7670
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17245-NP OH Primary

Addresses

Primary practice location

751 Forest Ave
Suite 402
Zanesville, OH 43701-2868

Mailing address

751 Forest Ave
Suite 402
Zanesville, OH 43701-2868
Phone (740) 454-7670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150605002100 OH Practitioner - Nurse Practitioner 6406177179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

1246 Ashland Ave
Zanesville, OH 43701-2861

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

945 Bethesda Dr
Zanesville, OH 43701-1880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.17245-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Jun 1, 2015 Accepting new patients
Genesis Medical Group LLC CurrentSince Jun 1, 2015 Accepting new patients
Genesis Primary Care Physicians LLC Past Accepting new patients

Locations

301 Mike Clouse Dr
#2A
Somerset, OH 43783
Phone (740) 836-0035

2904 Bell St
Zanesville, OH 43701
Phone (740) 586-6828

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

751 Forest Ave
Ste 402
Zanesville, OH 43701
Phone (740) 452-1905

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

1246 Ashland Ave
Ste 204
Zanesville, OH 43701
Phone (740) 450-6167

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1326433558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE",
            "address_2": "SUITE 402",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012868",
            "telephone_number": "740-454-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE",
            "address_2": "SUITE 402",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012868",
            "telephone_number": "740-454-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17245-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.