Individual provider Active NPI

Lauren Martinez, PA

  • Physician Assistant
  • Raynham, MA
National Provider Identifier
1528598190
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6131 Issued in MA
Practice address
675 Paramount Dr Ste 205
Raynham, MA 02767-5416
Phone
(508) 828-5848
Fax
(508) 828-5846
NPI assigned
Jun 15, 2017
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 PA6131 MA Primary

Addresses

Primary practice location

675 Paramount Dr Ste 205
Raynham, MA 02767-5416

Mailing address

15 Roche Bros Way
North Easton, MA 02356-1000

Other names 1

  • Lauren Kreitman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815000705 MA Practitioner - Physician Assistant 8820360670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Care Physician Network, LLCGroup PAC ID 7214185511, 36 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

15 Roche Bros Way
North Easton, MA 02356-1000
Phone (781) 344-3535

3119 Cranberry Hwy
Suite 5
East Wareham, MA 02538-4840
Phone (508) 759-5411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Care Physician Network LLC CurrentSince Aug 1, 2017 Accepting new patients
Orthopedic Care Physician Network, LLC CurrentSince Aug 1, 2017 Accepting new patients
University Orthopedics, Inc. PastSince Nov 1, 2020 Accepting new patients
University Orthopedics, Inc. Past Accepting new patients

Locations

10 Reservoir St
Ste 101
Mansfield, MA 02048
Phone (508) 618-7111

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

675 Paramount Dr
Ste 205
Raynham, MA 02767
Phone (508) 822-2874

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA
  • Direct secure messaging: lauren.martinez.1@13709.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1528598190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR STE 205",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-828-5848",
            "fax_number": "508-828-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "KREITMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raynham, MA

Sources for this page

Verify at the official NPI Registry.