Individual provider Active NPI

Regina Suzanne Martin, APRN, CNM

  • Advanced Practice Midwife
  • Orrville, OH
National Provider Identifier
1689234148
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.019401 Issued in OH
Practice address
830 S Main St
Orrville, OH 44667-2291
Phone
(330) 684-4797
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.019401 OH Primary

Addresses

Primary practice location

830 S Main St
Orrville, OH 44667-2291

Mailing address

4264 Hilltop Dr
Coventry Township, OH 44203-4813
Phone (330) 472-2650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918001647 OH Practitioner - Certified Nurse Midwife (CNM) 4688904642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

51 Park W Blvd
Suite 200
Akron, OH 44320-4215
Phone (330) 869-9777

525 E Market St
Akron, OH 44304-1619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN.CNM.019401OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Oct 23, 2022 Accepting new patients
Summa Physicians LLC CurrentSince Oct 23, 2022 Accepting new patients
Aultman North Canton Medical Group PastSince Aug 19, 2019 Accepting new patients
Summa Health System Past Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1463 Canton Rd
Akron, OH 44312
Phone (330) 784-5406

51 Park West Blvd
#200
Akron, OH 44320
Phone (234) 312-6367

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1700 Boettler Rd
Ste 225
Green, OH 44685
Phone (330) 899-9696

3780 Medina Rd
Ste 200
Medina, OH 44256
Phone (330) 722-3083

3825 Fishcreek Rd
Ste 200
Stow, OH 44224
Phone (234) 867-6970

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1689234148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 HILLTOP DR",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "442034813",
            "telephone_number": "330-472-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MAIN ST",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446672291",
            "telephone_number": "330-684-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REGINA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.019401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orrville, OH

Sources for this page

Verify at the official NPI Registry.