Active NPI
Bethany Martin
- Physician Assistant
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007192
- Practice address
- 1330 Mercy Dr NW Ste 101
Canton, OH 44708-2624 - Phone
- (330) 588-4676
- Fax
- (330) 588-4677
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.007192 | OH | Primary |
Addresses
Primary practice location
1330 Mercy Dr NW Ste 101
Canton, OH 44708-2624
Mailing address
28891 State Route 172
Kensington, OH 44427-9732
Phone (330) 692-0239
Other practice location 1
141 N Forge St
Akron, OH 44304-1407
Phone (330) 375-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 343-0753
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1145
1330 Mercy Dr NW
Canton, OH 44708-2626
Phone (330) 489-1000
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
- Mercy Medical Center
- Union Hospital
- Akron General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.007192 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients |
Locations
1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706
1330 Mercy Dr NW
Ste 101
Canton, OH 44708
Phone (330) 244-8505
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Internal Medicine Physician
- Akron, OH
- NPI 1508288531
-
- Emergency Medicine Physician
- Akron, OH
- NPI 1265471148
-
- Internal Medicine Physician
- Canton, OH
- NPI 1902827876
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Rural Acute Care Hospital
- Dover, OH
- NPI 1871606921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1407431950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28891 STATE ROUTE 172",
"city": "KENSINGTON",
"state": "OH",
"postal_code": "444279732",
"telephone_number": "330-692-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 MERCY DR NW STE 101",
"city": "CANTON",
"state": "OH",
"postal_code": "447082624",
"telephone_number": "330-588-4676",
"fax_number": "330-588-4677"
}
],
"practiceLocations": [
{
"address_1": "141 N Forge St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041407",
"country_code": "US",
"telephone_number": "330-375-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "BETHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.007192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.