Active NPI
Michael J Martinez, CSA
- General Acute Care Hospital
- Naperville, IL
National Provider Identifier
1790979359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 3036
- Practice address
- 608 S Washington St Ste 204
Naperville, IL 60540-6675 - Phone
- (505) 787-1013
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 3036 | WI | Primary |
Addresses
Primary practice location
608 S Washington St Ste 204
Naperville, IL 60540-6675
Mailing address
608 S Washington St Ste 204
Naperville, IL 60540-6675
Phone (505) 787-1013
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3036 | WI | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1790979359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 S WASHINGTON ST STE 204",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406675",
"telephone_number": "505-787-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 S WASHINGTON ST STE 204",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406675",
"telephone_number": "505-787-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "WI",
"license": "3036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.