Randall Stuart Martz, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00020 Issued in TX

Practice address

1512 Teasley LN
Denton, TX 76205-7282

Phone

(940) 566-5010

NPI assigned

Sep 12, 2005

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Ico Primary Care, LLCGroup PAC ID 6901240910, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/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.

• Immediate Care of Oklahoma LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1164697694
  Medicare reassignment Care Compare group NPD (past)
• Ico Primary Care, LLC

  • Primary Care Clinic/Center
  • Choctaw, OK
  • NPI 1568144996
  Medicare reassignment Care Compare group
• Classen Family Practice LLC

  dba Classen Family Medicine

  • Family Medicine Physician
  • Moore, OK
  • NPI 1063927408

  Medical

  NPD
• Classen Urgent Care Clinic LLC

  • Urgent Care Clinic/Center
  • Norman, OK
  • NPI 1427337518
  NPD
• Immediate Care of Oklahoma, LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1780239202
  NPD

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1972598456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 OAKVIEW RD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762406642",
            "telephone_number": "940-612-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057282",
            "telephone_number": "940-566-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "RANDALL",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laramie Alexandria Martin
• Lori Lee Martin, MS., LPC-SUPERVISOR
• Hilda Elena Martinez-Campos, FNP-C
• Analyssa Ali Martinez
• Yasmine Aaliyah Martinez
• Mary Eberhart, WHNP-BC, P.L.L.C.
• Mary Winborn PA-C, PC
• Filippo Masciarelli, M.D.
• Andrea Mason
• Mass Effect Medical Group PLLC

• Medical Physician Assistant in Denton, TX
• Providers in Denton, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.