Individual provider Active NPI

Genine Martin, PA-C

  • Medical Physician Assistant
  • Warren, PA
National Provider Identifier
1942329529
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
145 Pleasant Dr
Warren, PA 16365-3371
Phone
(814) 723-8023
Fax
(814) 723-8025
NPI assigned
Mar 28, 2007
Last updated
May 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

145 Pleasant Dr
Warren, PA 16365-3371

Mailing address

145 Pleasant Dr
Warren, PA 16365-3371
Phone (814) 723-8023

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231109003308 PA Practitioner - Physician Assistant 9032566278 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince Sep 27, 2023 Accepting new patients
Warren General Hospital CurrentSince Sep 27, 2023 Accepting new patients
Warren Pediatric Associates Past Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

145 Pleasant Dr
Warren, PA 16365
Phone (814) 723-8023

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Interoperability endpoints

  • Direct secure messaging: geninemartin@directaddress.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1942329529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371",
            "telephone_number": "814-723-8023",
            "fax_number": "814-723-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371",
            "telephone_number": "814-723-8023",
            "fax_number": "814-723-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GENINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.