Maarten Adriaan J Wybenga, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13662 Issued in AL

Practice address

1321 North County Highway 395
Santa Rosa Beach, FL 32459

Phone

(850) 213-1133

Fax

(850) 213-2533

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Martin Adriaan J Wybenga Other name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martin.wybenga.1@26499.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26499/brand/1/csg/1/fhir/r4

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.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment NPD
• Point Washington Medical Clinic Inc

  • Clinic/Center
  • Santa Rosa Beach, FL
  • NPI 1568934560
  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1033534524

  Family Medicine

  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1902987555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NORTH COUNTY HIGHWAY 395",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-213-1133",
            "fax_number": "850-213-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NORTH COUNTY HIGHWAY 395",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-213-1133",
            "fax_number": "850-213-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 N Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360672132",
            "country_code": "US",
            "telephone_number": "334-358-2010",
            "fax_number": "334-358-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYBENGA",
        "first_name": "MAARTEN",
        "middle_name": "ADRIAAN J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-12-10",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "13662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051515040",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51515040",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIN",
            "last_name": "WYBENGA",
            "middle_name": "ADRIAAN J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Women & Children First, LLC
• Tresa G Wood
• Ciara Woods
• Courtney Murphy Wright, D.M.D.
• Amy Lynne Wusterbarth, AU.D.
• Rebecca Paige Yates, RBT
• Kayla Robyn Zajac

• Family Medicine Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.