Jorge a. Martinez, MD, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JORGE A. MARTINEZ, MD, PA

Practice address

1615 12TH Ave Rd Ste B
Nampa, ID 83686-6184

Phone

(208) 498-1700

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Renee Robling

Title

Administrator

Phone

(208) 498-1700

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge A Martinez, M.D.

  • Ophthalmology Physician
  • Nampa, ID
  • NPI 1922076082
  Medicare reassignment NPD
• Erik Ostler, M.D.

  • Ophthalmology Physician
  • Mayfield HTS, OH
  • NPI 1306251038

  ID

  Medicare reassignment NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1972525947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 12TH AVE RD STE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866184",
            "telephone_number": "208-498-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 12TH AVE RD STE B",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866184",
            "telephone_number": "208-498-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A. MARTINEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBLING",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-498-1700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD3339",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8L691",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010150557",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donielle Jordan, LPC
• Hayley Jordan, LMSW
• Mallorie Jordan
• Sara Jordan, IS
• Jorge a. Martinez, MD, PA
• Joseph D. Ballenger Jr. DDS PA
• Journey Mental Health Nampa, LLC
• Journeys Hospice, Inc
• Nina Jozelic-Walker, LCSW
• Helena Juan

• Ophthalmology Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.