Active NPI
Alice Marie Martinson, M.D.
- Orthopaedic Surgery Physician
- Berryville, AR
National Provider Identifier
1073580064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- N7648
- Practice address
- 408 Orchard Dr
Berryville, AR 72616-4320 - Phone
- (870) 423-3774
- Fax
- (870) 423-4670
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | N7648 | AR | Primary |
| Orthopaedic Surgery Physician | 207X00000X | G25165 | CA |
Addresses
Primary practice location
408 Orchard Dr
Berryville, AR 72616-4320
Mailing address
408 Orchard Dr
Berryville, AR 72616-4320
Phone (870) 423-3774
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14882000000 | Other | AR | QUALCHOICE |
| 149415 | Other | AR | HEALTHLINK |
| 5590017 | Other | AR | AETNA |
| 53233 | Other | AR | BLUE CROSS BLUE SHIELD |
| 09-20000 | Other | AR | UNITEDHEALTHCARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7648 | AR | MD | Orthopaedic Surgery Physician |
| G25165 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Sports Medicine Clinic of Northwest Arkansas, P.a. | Past | Accepting new patients | |
| Alice M. Martinson, M.D. | Orthopaedic Surgery | Past | Accepting new patients |
| Alice M. Martinson, M.D. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Berryville, AR
- NPI 1508153743
-
- Durable Medical Equipment & Medical Supplies
- Berryville, AR
- NPI 1821377995
-
- Durable Medical Equipment & Medical Supplies
- Berryville, AR
- NPI 1154536019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1073580064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 ORCHARD DR",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726164320",
"telephone_number": "870-423-3774",
"fax_number": "870-423-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 ORCHARD DR",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726164320",
"telephone_number": "870-423-3774",
"fax_number": "870-423-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINSON",
"first_name": "ALICE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "N7648",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G25165",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "14882000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "149415",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5590017",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "53233",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "09-20000",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.