Active NPI
Angela Martin, MD
- Otolaryngology Physician
- Albuquerque, NM
National Provider Identifier
1265449227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2005-0623
- Practice address
- 2ND Ambulatory Care Ctr
2211 Lomas Blvd. NE
Albuquerque, NM 87131-0001 - Phone
- (505) 272-6452
- NPI assigned
- Aug 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2005-0623 | NM | Primary |
Addresses
Primary practice location
2ND Ambulatory Care Ctr
2211 Lomas Blvd. NE
Albuquerque, NM 87131-0001
Mailing address
2211 Lomas Blvd NE
Msc10 5610
Albuquerque, NM 87131-0001
Phone (505) 272-6452
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 |
|---|---|---|---|
| 109590 | CA | MD | Dentist |
| 2005-0623 | NM | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates | Past | Accepting new patients | |
| Valley Children'S Specialty Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- amartin56524@valleychildrens-prd.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1265468086
-
- Pediatrics Physician
- Madera, CA
- NPI 1013968296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265449227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 LOMAS BLVD NE",
"address_2": "MSC10 5610",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2ND AMBULATORY CARE CTR",
"address_2": "2211 LOMAS BLVD. NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "2005-0623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.