Active NPI
Gary L Martin, CRNA
- Certified Registered Nurse Anesthetist
- Bartlesville, OK
National Provider Identifier
1689779381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0030164
- Practice address
- 3500 E Frank Phillips Blvd
JPMC Anesthesia Dept
Bartlesville, OK 74006-2411 - Phone
- (918) 331-1555
- Fax
- (918) 331-1695
- NPI assigned
- Sep 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0030164 | OK | Primary |
Addresses
Primary practice location
3500 E Frank Phillips Blvd
JPMC Anesthesia Dept
Bartlesville, OK 74006-2411
Mailing address
PO Box 3456
Bartlesville, OK 74006-3456
Phone (918) 333-3830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100788020A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists of Bartlesville | Past | Accepting new patients | |
| Bap L.L.P. | Past | Accepting new patients | |
| Baba Abudu MD PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Bartlesville, OK
- NPI 1407870066
-
- Anesthesiology Physician
- Bartlesville, OK
- NPI 1114159290
-
- Anesthesiology Physician
- Coffeyville, KS
- NPI 1275510448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1689779381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3456",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740063456",
"telephone_number": "918-333-3830",
"fax_number": "918-333-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FRANK PHILLIPS BLVD",
"address_2": "JPMC ANESTHESIA DEPT",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062411",
"telephone_number": "918-331-1555",
"fax_number": "918-331-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GARY",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0030164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100788020A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.