Edward A Martinez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04174 Issued in TX

Practice address

1212 N Highway 377
Suite 119
Roanoke, TX 76262-6916

Phone

(682) 831-1591

Fax

(682) 831-1598

NPI assigned

Dec 1, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Family Care PLLCGroup PAC ID 3577701085, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: edward.martinez@ffam.eclinicaldirectplus.com

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.

• First Family Care, PLLC

  • Family Medicine Physician
  • Roanoke, TX
  • NPI 1154666758
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1720233042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N HIGHWAY 377",
            "address_2": "SUITE 119",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626916",
            "telephone_number": "682-831-1591",
            "fax_number": "682-831-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N HIGHWAY 377",
            "address_2": "SUITE 119",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626916",
            "telephone_number": "682-831-1591",
            "fax_number": "682-831-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA04174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathanael Lucero
• Gueorgui T Maltchev, PA
• Mary Maltchev
• Nikitha Mantha
• Zachary Wade Marshall, M.D.
• Amber McClinton
• Abigail McCrary, LPC
• Med Southwest, PLLC
• Joanna Christal Mendoza, PT, DPT
• Washington Odhiambo Mitema, FNP

• Medical Physician Assistant in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.

Verify at the official NPI Registry.