Lizbeth Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106466 Issued in FL

Practice address

3131 Innovation Dr
Saint Cloud, FL 34769-6501

Phone

(407) 498-0071

Fax

(407) 498-0073

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Lizbeth Gaston Former name

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Health Specialists of Central Florida PLGroup PAC ID 9739359878, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Womens Health Specialists of Central Florida PL

  • Gynecology Physician
  • Saint Cloud, FL
  • NPI 1245520154
  Medicare reassignment Care Compare group
• Aylo Health, LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1013018811
  Medicare reassignment NPD
• Legacy Family Medicine LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1477878940
  Medicare reassignment
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)
• Aylo Health, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Stockbridge, GA
  • NPI 1922831445
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1942586771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 INNOVATION DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-498-0071",
            "fax_number": "407-498-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 INNOVATION DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-498-0071",
            "fax_number": "407-498-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 W Gore St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328053238",
            "country_code": "US",
            "telephone_number": "407-245-0012 x232",
            "fax_number": "407-245-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LIZBETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2216",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003120311A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZBETH",
            "last_name": "GASTON",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marti Chiropractic, LLC
• Gabriel Marti- Santos, DC
• Eskeila Martin, PA
• Jasmine Martin, MA, RMFTI
• Kaitlyn Taylor Martin
• Mollie Mae Martin
• Angel Martinez Alarcon
• Jean Carlos Martinez Cruz, M.D.
• Roberto Jose Martinez Espinosa
• Cesar Martinez Lopez

• Physician Assistant in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.