Steven Lee Martinez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3003 Civic Circle Blvd Ste 200
Marion, IL 62959-5259

Phone

(618) 993-1400

Fax

(618) 993-1522

NPI assigned

Feb 28, 2007

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346377199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W PRAIRIE ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592070",
            "telephone_number": "618-751-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 CIVIC CIRCLE BLVD STE 200",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595259",
            "telephone_number": "618-993-1400",
            "fax_number": "618-993-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sue Martin, COTAL
• David A Martin, OTR/L
• Jennifer Martin, LCPC
• Michele Marie Martin, RD
• Patti L Martin, NP
• Tameeka Marvin
• Serhiy Maslovsky, PA
• Rachel Lauren Massa, M.A. CCC-SLP
• Masterful Therapy
• Christopher D Masterson, RRT

• Physician Assistant in Marion, IL
• Providers in Marion, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.