Organization Active NPI

Michael R Martz

Doing business as Albtuck Family Medical Care

  • Family Medicine Physician
  • Barco, NC
National Provider Identifier
1912001397
Registry record updated May 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL R MARTZ
Doing business as
Albtuck Family Medical Care
Practice address
4039 Caratoke Hwy
Barco, NC 27917
Phone
(252) 453-3013
Fax
(252) 453-4180
NPI assigned
Sep 7, 2006
Last updated
May 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2013

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

Authorized official

Name
Ms. Sharon P McClung-Martz
Title
Manager
Phone
(252) 453-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4039 Caratoke Hwy
Barco, NC 27917

Mailing address

4039 Caratoke Hwy
Barco, NC 27917
Phone (252) 453-3013

Other identifiers 1

IdentifierTypeStateIssuer
890102JMedicaidNC

Other names 1

  • Albtuck Family Medical Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369440000000",
    "number": "1912001397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 CARATOKE HWY",
            "city": "BARCO",
            "state": "NC",
            "postal_code": "27917",
            "telephone_number": "252-453-3013",
            "fax_number": "252-453-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 CARATOKE HWY",
            "city": "BARCO",
            "state": "NC",
            "postal_code": "27917",
            "telephone_number": "252-453-3013",
            "fax_number": "252-453-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R MARTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-05-25",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG-MARTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-453-3013",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890102J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albtuck Family Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barco, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2013; 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.