Active NPI
Martha J Linn, PA C
- Physician Assistant
- Petoskey, MI
National Provider Identifier
1508939562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 227
- Practice address
- 560 W Mitchell St
Ste 125
Petoskey, MI 49770-2275 - Phone
- (231) 487-4950
- Fax
- (231) 487-4951
- NPI assigned
- Nov 16, 2006
- Last updated
- Feb 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 227 | WY | Primary |
Addresses
Primary practice location
560 W Mitchell St
Ste 125
Petoskey, MI 49770-2275
Mailing address
416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160C976180 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1436 | WI | MD | Social Worker |
| 227 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1508939562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 CONNABLE AVE",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702212",
"telephone_number": "231-487-4950",
"fax_number": "231-487-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST",
"address_2": "STE 125",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702275",
"telephone_number": "231-487-4950",
"fax_number": "231-487-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINN",
"first_name": "MARTHA",
"middle_name": "J",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "160C976180",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
- Jody L. Lightfoot, PTA/L
- Lilah Clevey PLLC
- Albert Timothy Linehan IV, M.D.
- Thomas G Ling, MD
- Lauren Link
- Alexander Lipman, M.D.
- Little Traverse Bay Bands of Odawa Indians
- Little Traverse Bay Bands of Odawa Indians
- Little Traverse Bay Bands of Odawa Indians (LTBB of Odawa Pharmacy)
- Little Traverse Bay Bands of Odawa Indians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.