Individual provider Active NPI

Martin Joseph Naber, OPA, SA-C

  • Surgical Assistant
  • Milwaukee, WI
National Provider Identifier
1720182397
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
13-480 CERTIFICATE # Issued in WI
Practice address
575 W River Woods Pkwy
Suite 305
Milwaukee, WI 53212-1003
Phone
(414) 961-2225
Fax
(414) 961-0298
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 161 NSOPACERTIFIED IA
Surgical Assistant 246ZC0007X 13-480 CERTIFICATE # WI Primary

Addresses

Primary practice location

575 W River Woods Pkwy
Suite 305
Milwaukee, WI 53212-1003

Mailing address

575 W River Woods Pkwy
Suite 305
Milwaukee, WI 53212-1003
Phone (414) 961-2225

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13-480 CERTIFICATE #WIMDSurgical Assistant
161 NSOPACERTIFIEDIAMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Spinal Specialists, S.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1720182397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 W RIVER WOODS PKWY",
            "address_2": "SUITE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121003",
            "telephone_number": "414-961-2225",
            "fax_number": "414-961-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W RIVER WOODS PKWY",
            "address_2": "SUITE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121003",
            "telephone_number": "414-961-2225",
            "fax_number": "414-961-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABER",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OPA,    SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IA",
            "license": "161   NSOPACERTIFIED",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "13-480 CERTIFICATE #",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.