NPIMap

Individual provider Active NPI

John Arthur Martin, PA

  • Physician Assistant
  • Bay City, MI
National Provider Identifier
1386632164
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601001218 Issued in MI
Practice address
3884 Monitor Rd
Bay City, MI 48706-9298
Phone
(989) 671-2000
Fax
(989) 671-4000
NPI assigned
Oct 6, 2005
Last updated
Jan 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001218 MI Primary

Addresses

Primary practice location

3884 Monitor Rd
Bay City, MI 48706-9298

Mailing address

501 Lapeer Ave
Health Delivery Inc
Saginaw, MI 48607-1208
Phone (989) 759-6464

Other identifiers 7

IdentifierTypeStateIssuer
1012014OtherHEALTH ADVANTAGE PPO
260OtherMICOMMUNITY CHOICE
381908328OtherTRICARE
1012014OtherMCLAREN HEALTH PLAN
146037OtherGREAT LAKES HEALTH PLAN
080G310660OtherMIBLUE CROSS BLUE SHIELD MI
2832651OtherMIMOLINA HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000455 MI Practitioner - Physician Assistant 7810961042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Mar 4, 2010 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Mar 4, 2010 Accepting new patients

Locations

3884 Monitor Rd
Bay City, MI 48706
Phone (989) 671-2000

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Great Lakes Bay Health CentersBay City, MI, CCN 231890 Federally qualified health center Corporate Director Feb 16, 2023
Great Lakes Bay Health Centers Wolverine SaginawSaginaw, MI, CCN 231883 Federally qualified health center Corporate Director Feb 16, 2023
Great Lakes Bay Health Centers ShiawasseeOwosso, MI, CCN 231013 Federally qualified health center Corporate Director Feb 8, 2022
Great Lakes Bay Health Centers Integrated Care Thumb AreaBad Axe, MI, CCN 231024 Federally qualified health center Corporate Director Feb 8, 2022
Great Lakes Bay Health Centers Thompson Middle SchoolSaginaw, MI, CCN 231151 Federally qualified health center Corporate Director Jun 11, 2025
Great Lakes Bay Health Centers Bridgeport Spaulding High SchoolBridgeport, MI, CCN 231152 Federally qualified health center Corporate Director Jan 19, 2026
Great Lakes Bay Health Centers Bay City SouthBay City, MI, CCN 231149 Federally qualified health center Corporate Director Apr 17, 2025
Great Lakes Bay Health Centers Tri-CapSaginaw, MI, CCN 231161 Federally qualified health center Corporate Director Jun 11, 2025
Great Lakes Bay Health Centers Bay City CentralBay City, MI, CCN C71026 Federally qualified health center Corporate Director Feb 8, 2024
Great Lakes Bay Health Centers Integrated Care MidlandMidland, MI, CCN C71031 Federally qualified health center Corporate Director Aug 23, 2024

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1386632164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER AVE",
            "address_2": "HEALTH DELIVERY INC",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071208",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 MONITOR RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069298",
            "telephone_number": "989-671-2000",
            "fax_number": "989-671-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE PPO",
            "identifier": "1012014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE",
            "identifier": "260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "381908328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1012014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "146037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "080G310660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE",
            "identifier": "2832651",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.