Active NPI
David L Martineau, D.O.
- Diagnostic Radiology Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 3045
- Practice address
- 7600 Wolf River Blvd
Ste 200
Germantown, TN 38138-1784 - Phone
- (901) 747-1000
- NPI assigned
- Jul 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 3045 | TN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | DO.1505 | AL |
Addresses
Primary practice location
7600 Wolf River Blvd
Ste 200
Germantown, TN 38138-1784
Mailing address
PO Box 5083
Memphis, TN 38101-5083
Phone (901) 383-9437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432
1500 W Poplar
Collierville, TN 38017-0601
Phone (901) 850-2128
3001 Apache Dr
Suite a
Jonesboro, AR 72401-7432
Phone (870) 936-8000
3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000
3003 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 931-8800
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1020
555 Perkins Ext
Suite 100
Memphis, TN 38117-4413
Phone (800) 475-3698
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 227-9000
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700
7600 Wolf River Blvd
Germantown, TN 38138-1785
Phone (901) 312-4033
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478
8000 Centerview Pkwy
Suite 101
Cordova, TN 38018-4225
Phone (901) 747-1111
8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 747-1000
Hospital & facility affiliations
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital Jonesboro, Inc.
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital - Carroll County
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1505 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| West Tennessee Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
7600 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 312-4033
7600 Wolf River Blvd
Memphis, TN 38138
Phone (615) 550-6049
Interoperability endpoints
- dmartineau78823@direct.bmhcc.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Imaging Center at Wolf River
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1912395708
-
dba NEA Baptist Clinic
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
AR, MS
-
dba NEA Baptist Mobile Health Unit
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
dba Baptist Memorial Hospital - Carroll County
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
dba NEA Baptist Memorial Hospital
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1184935447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5083",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381015083",
"telephone_number": "901-383-9437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 WOLF RIVER BLVD",
"address_2": "STE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381784",
"telephone_number": "901-747-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEAU",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "3045",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "DO.1505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.