MM Waddell Health Services Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

42011 Issued in CO

Legal business name

MM WADDELL HEALTH SERVICES INC

Practice address

3205 S High St
Englewood, CO 80113-3028

Phone

(720) 384-7526

Fax

(303) 839-7936

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martha Melrose Waddell, M.D.

Title

Owner/Physician

Phone

(720) 384-7526

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1396077319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 S HIGH ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133028",
            "telephone_number": "720-384-7526",
            "fax_number": "303-839-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S HIGH ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133028",
            "telephone_number": "720-384-7526",
            "fax_number": "303-839-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM WADDELL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "MELROSE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "720-384-7526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CO",
            "license": "42011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C806878",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G88354",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32278845",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Mitchell, DPT
• Savannah Mitchell, LPC
• Shawna Rae Mitchell, FNP-C
• Stacey Michelle Mitchell, RN, ANP
• MK Healthcare PLLC
• Kian Ali Modanlou, M.D.
• Mats Moe
• Olivia Moeller, MS CNS
• Claire Elizabeth Moen, DO
• Ashley Mohnssen, MA CF-SLP

• Long Term Care Hospital in Englewood, CO
• Providers in Englewood, CO by specialty
• Long Term Care Hospital in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.