Active NPIIndividual providerSole proprietor

Peter B Martin, AA

Anesthesiologist Assistant in Myrtle Beach, South Carolina

NPI Number1962289322
Practice location
809 82ND Pkwy, Myrtle Beach, SC 29572-4607
Fax
—
Last updated
February 20, 2025

Peter Barry Martin is an Anesthesiologist Assistant based in Myrtle Beach, SC. Peter Barry Martin practices in Myrtle Beach, SC and has the professional credentials of AA. The NPI Number for Peter Barry Martin is 1962289322 and holds a License No. 2000-00037 (NC). The current practice location address for Peter Barry Martin is 809 82ND Pkwy, Myrtle Beach, SC 29572-4607 and can be reached out via phone at 809-692-1000.

Provider Profile Details

NPI Number
1962289322
Provider Name
Peter Barry Martin
Credential
AA
Provider Entity Type
Individual
Gender
Male
Address
809 82ND Pkwy, Myrtle Beach, SC 29572-4607
Phone Number
809-692-1000
Primary Taxonomy
Anesthesiologist Assistant · 367H00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2023
Last Update Date
February 20, 2025
Certification Date
February 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Zip
29572-4607
Phone Number
809-692-1000
Myrtle Beach, SC 29572Get directions →

Provider Business Mailing Address Details

Address
23 Berkeley St
Nashua, NH 03064-1933
City
Nashua
State
NH
Zip
03064-1933
Phone Number
603-459-5865

License Information

License Number (1)
2000-00037
License State (1)
NC
Taxonomy (1)
Anesthesiologist Assistant · 367H00000X
Taxonomy (2)
Anesthesiologist Assistant · 367H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter B Martin, AA?

The NPI number of Peter B Martin, AA is 1962289322. It was assigned on September 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Peter B Martin, AA?

Peter B Martin, AA is registered under the primary taxonomy Anesthesiologist Assistant (code 367H00000X), licensed in NC under license number 2000-00037.

Where does Peter B Martin, AA practice?

The practice location is 809 82ND Pkwy, Myrtle Beach, SC 29572-4607. The office can be reached at 809-692-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962289322 directly on the NPPES registry website.

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