NPIMap

Individual provider Active NPI

Sara Cecilia Martinez, M.D., PH.D.

  • Cardiovascular Disease Physician
  • Olympia, WA
National Provider Identifier
1750543906
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60652712 Issued in WA
Practice address
500 Lilly Rd NE Ste 100
Providence Cardiology Associates
Olympia, WA 98506-5195
Phone
(360) 413-8525
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD60652712 WA Primary

Addresses

Primary practice location

500 Lilly Rd NE Ste 100
Providence Cardiology Associates
Olympia, WA 98506-5195

Mailing address

500 Lilly Rd NE Ste 100
Providence Cardiology Associates
Olympia, WA 98506-5195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824001309 WA Practitioner - Cardiovascular Disease (Cardiology) 4183853427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1921 Sumner Ave
Aberdeen, WA 98520-3606
Phone (866) 805-5755

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083

500 Lilly Rd NE
Suite 100
Olympia, WA 98506-5195
Phone (360) 413-8525

525 Lilly Rd NE
Olympia, WA 98506-5101

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting61
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD60652712WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jun 1, 2017 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 1, 2017 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 1, 2017 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508

500 Lilly Rd NE
Ste 100
Olympia, WA 98506
Phone (360) 413-8525

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

939 Mountain View Dr
Ste 120
Shelton, WA 98584
Phone (360) 427-2733

1812 N 13th Loop Rd
Shelton, WA 98584
Phone (360) 426-3862

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1750543906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LILLY RD NE STE 100",
            "address_2": "PROVIDENCE CARDIOLOGY ASSOCIATES",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LILLY RD NE STE 100",
            "address_2": "PROVIDENCE CARDIOLOGY ASSOCIATES",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065195",
            "telephone_number": "360-413-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SARA",
        "middle_name": "CECILIA",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60652712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.