Active NPI
Melissa A Martchek, MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1285890061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD443059
- Practice address
- 3401 Civic Center Blvd
Children'S Hospital of Philadelphia - Emergency Med
Philadelphia, PA 19104-4319 - Phone
- (215) 590-1944
- Fax
- (215) 590-4464
- NPI assigned
- Jul 31, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125-055041 | IL | |
| Pediatrics Physician | 208000000X | MD443059 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Children'S Hospital of Philadelphia - Emergency Med
Philadelphia, PA 19104-4319
Mailing address
100 E Penn SQ
9TH Floor
Philadelphia, PA 19107-3323
Phone (267) 425-9232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125-055041 | Other | IL | ILLINOIS STATE LISCENCE |
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 |
|---|---|---|---|
| 125-055041 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1285890061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ",
"address_2": "9TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9232",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "215-590-1944",
"fax_number": "215-590-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTCHEK",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125-055041",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD443059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS STATE LISCENCE",
"identifier": "125-055041",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.