Shelly R Martyniakpa, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002850 Issued in MI

Practice address

2222 S Linden Rd
Suite a
Flint, MI 48532-5475

Phone

(810) 733-0790

Fax

(810) 733-1817

NPI assigned

Jan 31, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1558549683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-733-0790",
            "fax_number": "810-733-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-733-0790",
            "fax_number": "810-733-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTYNIAKPA",
        "first_name": "SHELLY",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE LICENSE",
            "identifier": "SM002850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy C Martinez, MD
• Vicky L Martinez, BSN RN
• Courtney Martinski, RDH
• Kamila Martis Lopez
• Abigail Marton, PA-C
• Marvin Latchana MD PC
• Mary Free Bed Orthotics and Prosthetics
• Mary H Espy OD PC
• Mary H Espy OD PC
• Robin Marzette, DSP1

• Medical Physician Assistant in Flint, MI
• Providers in Flint, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.