Victoria Suzanne Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056437 Issued in PA

Practice address

450 Cresson Blvd
Suite 110
Phoenixville, PA 19460-6127

Phone

(610) 728-6100

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

No

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.

• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Langhorne, PA
  • NPI 1114955010

  PA

  Medicare reassignment
• Grand View Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Sellersville, PA
  • NPI 1891359287

  PA

  Medicare reassignment
• Medical Services of Suffolk County PC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1811235724

  PA

  Medicare reassignment
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  PA

  Medicare reassignment
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1235374927

  Physician Assistant

  NPD

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmartin350595@direct-sluhn.org

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

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2013.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1891124178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD",
            "address_2": "SUITE 110",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194606127",
            "telephone_number": "610-728-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD",
            "address_2": "SUITE 110",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194606127",
            "telephone_number": "610-728-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICTORIA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marley
• Katama Martellucci
• Christopher W Martin, MD
• Jordan Martin
• Valerie Martin
• Edgar Alfredo Martinez, MD
• Mason Clinical Group, Inc.
• Stacy Massey
• Teresa MG Massey
• Christina T Mathew, DPT

• All providers in Phoenixville, PA
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.