Active NPI
Martha A Cline, MD
- Neurology Physician
- Meridian, ID
National Provider Identifier
1043249964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M7891
- Practice address
- 3875 E Overland Road
Meridian, ID 83642 - Phone
- (208) 343-3976
- Fax
- (208) 333-9942
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M7891 | ID | Primary |
Addresses
Primary practice location
3875 E Overland Road
Meridian, ID 83642
Mailing address
3875 E Overland Road
Meridian, ID 83642
Phone (208) 343-3976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M7891 | Other | ID | STATE LICENSE # |
| 003621300 | Medicaid | ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1043249964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 E OVERLAND ROAD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-343-3976",
"fax_number": "208-333-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 E OVERLAND ROAD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-343-3976",
"fax_number": "208-333-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "MARTHA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ID",
"license": "M7891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "M7891",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003621300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.