Active NPI
Anders Martenson III, MD
- Pediatrics Physician
- Middleboro, MA
National Provider Identifier
1063425742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 51871
- Practice address
- 260 Center St
Middleboro, MA 02346 - Phone
- (508) 946-1555
- Fax
- (508) 947-6731
- NPI assigned
- Aug 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 51871 | MA | Primary |
Addresses
Primary practice location
260 Center St
Middleboro, MA 02346
Mailing address
PO Box 1417
260 Center St
Middleboro, MA 02346-4417
Phone (508) 946-1555
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3004708 | Medicaid | MA | |
| 1201921 | Other | UNITED HEALTHCARE | |
| 000000026495 | Other | BMC HEALTH NET PLAN | |
| 051871 | Other | MA | TUFTS |
| J05085 | Other | MA | BCBS |
| 20145 | Other | HARVARD PILGRIM |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51871 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1063425742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1417",
"address_2": "260 CENTER ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023464417",
"telephone_number": "508-946-1555",
"fax_number": "508-947-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CENTER ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "02346",
"telephone_number": "508-946-1555",
"fax_number": "508-947-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTENSON",
"first_name": "ANDERS",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "51871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004708",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1201921",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET PLAN",
"identifier": "000000026495",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "051871",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J05085",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "20145",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.