Active NPI
Philippe Martin
- Certified Registered Nurse Anesthetist
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1086548
- Practice address
- 421 N 21St Ave
Hollywood, FL 33020-4013 - Phone
- (305) 899-4722
- NPI assigned
- Apr 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1086548 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
421 N 21St Ave
Hollywood, FL 33020-4013
Mailing address
2314 Johnson St Apt 27
Hollywood, FL 33020-2006
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | philippe.martin@mymail.barry.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1604 Rock Prairie Rd
College Station, TX 77845-8345
Phone (979) 764-5100
Hospital & facility affiliations
- CHI St Joseph Health Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.93 of 100
- Quality
- 34.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1086548 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Austin Anesthesiology Group PLLC | Current | Accepting new patients |
Locations
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1942294939
-
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1437778404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 JOHNSON ST APT 27",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330202006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N 21ST AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204013",
"telephone_number": "305-899-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PHILIPPE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1086548",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "philippe.martin@mymail.barry.edu",
"affiliation": "N",
"address_1": "421 N 21st Ave",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330204013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.