Individual provider Active NPI

Liam Taylor Martin, PA-C

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1760150296
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010557 Issued in MI
Practice address
505 N Clippert St
Lansing, MI 48912-4701
Phone
(517) 999-2273
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010557 MI Primary

Addresses

Primary practice location

505 N Clippert St
Lansing, MI 48912-4701

Mailing address

916 Harrison CT
Lansing, MI 48917-9256
Phone (517) 599-1586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20210921003925 MI Practitioner - Physician Assistant 6901203728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Urgent Care PLCGroup PAC ID 7214947902, 42 clinicians

Practice addresses (Care Compare)

12970 S US Hwy 27
Dewitt, MI 48820-7956
Phone (517) 999-2273

132 S Cedar St
Suite 3
Mason, MI 48854-2401
Phone (517) 999-2273

16945 Marsh Rd
Haslett, MI 48840-8948
Phone (517) 999-2273

2289 W Grand River Ave
Okemos, MI 48864-1649
Phone (517) 349-2300

320 E Jolly Rd
Lansing, MI 48910-6677
Phone (517) 999-4700

4440 W Saginaw Hwy
Lansing, MI 48917-2701
Phone (517) 327-6400

505 N Clippert St
Lansing, MI 48912-4701
Phone (517) 333-9200

886 E Saginaw Hwy
Grand Ledge, MI 48837-8410
Phone (517) 999-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601010557MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Urgent Care, PLC PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1760150296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 HARRISON CT",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489179256",
            "telephone_number": "517-599-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124701",
            "telephone_number": "517-999-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LIAM",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.