Active NPI
Casey Martin, ATC
- Medical Physician Assistant
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA065925
- Practice address
- 68 Aleksander Blvd
Wilkes Barre, PA 18707-9233 - Phone
- (570) 592-7455
- NPI assigned
- Jun 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Medical Physician Assistant | 363AM0700X | MA065925 | PA | Primary |
Addresses
Primary practice location
68 Aleksander Blvd
Wilkes Barre, PA 18707-9233
Mailing address
68 Aleksander Blvd
Wilkes Barre, PA 18707-9233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300
1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone (570) 808-5135
1175 E Mountain Blvd
Suite 150723
Wilkes Barre, PA 18702-7906
Phone (570) 808-1093
1201 Oak St
Pittston, PA 18640-3798
Phone (570) 808-9800
25 Church St
Wilkes Barre, PA 18702-3507
Phone (570) 808-3181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA065925 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100
1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800
300 Lackawanna Ave
Scranton, PA 18503
Phone (570) 342-7864
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
Interoperability endpoints
- cmartin619057@direct.geisinger.edu
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Pediatrics Physician
- Scranton, PA
- NPI 1952995482
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
dba Geisinger HealthPlex CenterPoint
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1649652546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 ALEKSANDER BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187079233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 ALEKSANDER BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187079233",
"telephone_number": "570-592-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CASEY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-26",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA065925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.