Individual provider Active NPI

Martha R Noftzger, MD

  • Family Medicine Physician
  • Rogersville, PA
National Provider Identifier
1356396030
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044507E Issued in PA
Practice address
140 Church St
Suite 102
Rogersville, PA 15359-1001
Phone
(724) 499-5188
Fax
(724) 499-5847
NPI assigned
May 23, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD044507E PA Primary

Addresses

Primary practice location

140 Church St
Suite 102
Rogersville, PA 15359-1001

Mailing address

7 Glassworks Rd
Cornerstone Care
Greensboro, PA 15338-9507
Phone (724) 943-3308

Other identifiers 3

IdentifierTypeStateIssuer
25-1346194OtherPAFEIN NUMBER
001714822-0001MedicaidPA
001714822-0002MedicaidPA

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

LicenseStateTypeSpecialty
MD044507EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Care, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: martha.noftzger.p12@direct.cornerstonecare.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1356396030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "address_2": "CORNERSTONE CARE",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "telephone_number": "724-943-3308",
            "fax_number": "724-943-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHURCH ST",
            "address_2": "SUITE 102",
            "city": "ROGERSVILLE",
            "state": "PA",
            "postal_code": "153591001",
            "telephone_number": "724-499-5188",
            "fax_number": "724-499-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFTZGER",
        "first_name": "MARTHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044507E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN NUMBER",
            "identifier": "25-1346194",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001714822-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001714822-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.