Active NPI
Antonio Martinez Gonzalez
- Surgical Assistant
- Spring, TX
National Provider Identifier
1992378921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 05-248
- Practice address
- 79 W Arbor Camp Cir
Spring, TX 77389-5321 - Phone
- (936) 718-5094
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Assistant | 246ZC0007X | 05-248 | TX | Primary |
Addresses
Primary practice location
79 W Arbor Camp Cir
Spring, TX 77389-5321
Mailing address
19 Clearview Terrace PL
The Woodlands, TX 77375-1541
Phone (936) 718-5094
Other practice location 1
19 Clearview Terrace Pl
The Woodlands, TX 77375-1541
Phone (936) 718-5094
Other names 1
- Antonio Martinez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-248 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg Sas LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1992378921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CLEARVIEW TERRACE PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773751541",
"telephone_number": "936-718-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 W ARBOR CAMP CIR",
"city": "SPRING",
"state": "TX",
"postal_code": "773895321",
"telephone_number": "936-718-5094"
}
],
"practiceLocations": [
{
"address_1": "19 Clearview Terrace Pl",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773751541",
"country_code": "US",
"telephone_number": "936-718-5094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ GONZALEZ",
"first_name": "ANTONIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "05-248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANTONIO",
"last_name": "MARTINEZ",
"credential": "SA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.