Active NPI
Sherry Maria Martinez
- Driver
- Delta, OH
National Provider Identifier
1508990599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RF442746
- Practice address
- 103 Palmwood St
Delta, OH 43515-1139 - Phone
- (419) 822-9782
- Fax
- (419) 822-9782
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | RF442746 | OH | Primary |
Addresses
Primary practice location
103 Palmwood St
Delta, OH 43515-1139
Mailing address
440 Monroe St
Delta, OH 43515-1056
Phone (419) 822-9222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263013527101 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RF442746 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508990599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MONROE ST",
"city": "DELTA",
"state": "OH",
"postal_code": "435151056",
"telephone_number": "419-822-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PALMWOOD ST",
"city": "DELTA",
"state": "OH",
"postal_code": "435151139",
"telephone_number": "419-822-9782",
"fax_number": "419-822-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "SHERRY",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RF442746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263013527101",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.