Gaudencio Peralta Martinez Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301401884 Issued in MI

Practice address

200 Orleans Blvd
Coldwater, MI 49036-1767

Phone

(517) 278-2129

Fax

(517) 279-8172

NPI assigned

Aug 5, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1992714158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 JOSHUA TREE CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241711",
            "telephone_number": "269-873-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORLEANS BLVD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361767",
            "telephone_number": "517-278-2129",
            "fax_number": "517-279-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GAUDENCIO",
        "middle_name": "PERALTA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301401884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjan Mohamadi M.D.
• Mark a Kallus MD PC
• Elise Marsh, DPT
• Michael Martin, DO
• Amber Marie Martinez
• Michelle Kathleen Marvin, MS, RD
• Joan Adele Matejovsky, NP-C
• Kristin Maxeiner
• Mark D Mayer, MD
• Christina Renee McCarrell, O.D.

• Psychiatry Physician in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.