Amber Dawn Martin, CSFA/CST

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

192364 Issued in UT

Practice address

170 N 1100 E
American Fork, UT 84003-2961

Phone

(801) 855-3300

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Saratoga Springs Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Saratoga Springs, UT
  • NPI 1437838240
  NPD (past)

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1548097223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 N 100 W",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032708",
            "telephone_number": "801-995-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032961",
            "telephone_number": "801-855-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 N 400 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840571999",
            "country_code": "US",
            "telephone_number": "801-224-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1886 W 800 N",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840624097",
            "country_code": "US",
            "telephone_number": "801-756-5288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 N 500 W",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043337",
            "country_code": "US",
            "telephone_number": "801-357-7850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 W Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "UT",
            "postal_code": "840453227",
            "country_code": "US",
            "telephone_number": "385-484-8970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 E 50 S Ste 101",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032846",
            "country_code": "US",
            "telephone_number": "801-492-5994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 W 800 N",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840573660",
            "country_code": "US",
            "telephone_number": "801-714-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "CSFA/CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "192364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ludmil K Manov, MD
• Abygail Marble
• Mark Henry Radandt
• Mark T Saunders MD LC
• Marlan Hansen MD LLC
• Stacy Ann Martin, MD
• Minerva Esmeralda Martinez-Lopez
• Holly Martinez
• Maria Myers Martinez, NP
• Brian M Matthews, CRNA

• All providers in American Fork, UT
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.