Irving De Jesus Martinez I

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5608 S Date Ave
Broken Arrow, OK 74011-4847

Phone

(918) 933-0080

NPI assigned

Feb 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1750889051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 S DATE AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114847",
            "telephone_number": "918-933-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 S DATE AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114847",
            "telephone_number": "918-933-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "IRVING",
        "middle_name": "DE JESUS",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Martin
• Sharay Martin
• Tonya Maria Martin, FNP-BC
• Andy Ty Martinez, OTR/L
• Elizabeth Sue Martinez
• Lucina Denise Martinez
• Sthembiso Mitchelle Maseko
• Leah Mashburn, MOT/ OTR,L
• Athena C Mason, D.O.
• Nicole Paola Mathes, MD

• Case Manager/Care Coordinator in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.