Amy Elizabeth Martin, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

44731 Issued in AZ

Practice address

2181 E Coconino Dr
Gilbert, AZ 85298-6132

Phone

(480) 262-8663

Fax

(480) 264-6049

NPI assigned

May 25, 2006

Last updated

Aug 14, 2013By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Enrolled in MT, AZ, NM3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

General Surgery

Education

Jefferson Medical College of Thomas Jefferson University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deming Clinic CorporationGroup PAC ID 8325001548, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mimbres Valley Medical Center Hospital, Deming, NM, CCN 321309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amartin1@yourcarecommunity.org
• Direct secure messaging: amy.martin.1@11629.direct.athenahealth.com
• Direct secure messaging: amy.martin.1@1596.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1596/brand/1/csg/43/fhir/r4

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.

• Deming Clinic Corporation

  • Family Medicine Physician
  • Deming, NM
  • NPI 1205835808
  Medicare reassignment Care Compare group NPD
• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179
  Medicare reassignment NPD
• Gabert Medical Services, Inc

  dba Gabert Clinic

  • Multi-Specialty Clinic/Center
  • Glendive, MT
  • NPI 1336158930
  Medicare reassignment NPD
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD
• Benefis Heatlhcare Practitioners

  dba Amy Elizabeth Martin, MD

  • Surgery Physician
  • Great Falls, MT
  • NPI 1972703478
  NPD (past)
• Deming Hospital Corporation

  dba Mimbres Valley Medical Group

  • Rural Health Clinic/Center
  • Deming, NM
  • NPI 1134526221
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deming Hospital Corporation

  dba Mimbres Memorial Hospital

  • Critical Access Hospital
  • Deming, NM
  • NPI 1891075446
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1982650768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 E COCONINO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852986132",
            "telephone_number": "480-262-8663",
            "fax_number": "480-264-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 E COCONINO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852986132",
            "telephone_number": "480-262-8663",
            "fax_number": "480-264-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "11426",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "44731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982650768",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625707",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBCHP",
            "identifier": "1982650768",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MT",
            "identifier": "0000097536",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "611532402",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Marschel, SLPA
• Julie Anne Marsh, M.A. LPC
• Jessie Marshall, M.A.S, BCBA
• Megan Nell Marshall
• Lorna Marsing, RN, BSN
• Beth A Martin, ND
• Duane Martin, M.D.
• Gregory Carl Martin, M.D.
• James Danforth Martin, PT, DPT
• Jasmine Martin

• Surgery Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.