Individual provider Active NPI

Stephen Hudnall Martenson, MD

  • Orthopaedic Surgery Physician
  • Winchester, VA
National Provider Identifier
1417993650
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101035437 Issued in VA
Practice address
128 Medical Cir
Winchester, VA 22601-3322
Phone
(540) 667-8975
Fax
(540) 667-6589
NPI assigned
Jun 22, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101035437 VA Primary

Addresses

Primary practice location

128 Medical Cir
Winchester, VA 22601-3322

Mailing address

128 Medical Cir
Winchester, VA 22601-3322
Phone (540) 667-8975

Other identifiers 3

IdentifierTypeStateIssuer
010094976MedicaidVA
P00155353OtherMEDICARE RAILROAD
P00803416OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000779 VA Practitioner - Orthopedic Surgery 2365406618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Orthopaedic Associates, LTD Orthopaedic Surgery CurrentSince Nov 1, 2004 Accepting new patients
Winchester Orthopaedic Associates LTD Orthopaedic Surgery CurrentSince Nov 1, 2004 Accepting new patients
Woa Imaging Associates, P.C. Orthopaedic Surgery CurrentSince Jul 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Winchester Orthopaedic Physical Therapy LLC Past Accepting new patients

Locations

128 Medical Cir
Winchester, VA 22601
Phone (540) 667-8975

136 Linden Dr
Ste 104
Winchester, VA 22601

1830 Amherst St
Winchester, VA 22601
Phone (540) 536-0057

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stephen.martenson.p1@direct.winc-ortho.nextgenshare.com

Organizations & group practices 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1417993650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MEDICAL CIR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013322",
            "telephone_number": "540-667-8975",
            "fax_number": "540-667-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MEDICAL CIR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013322",
            "telephone_number": "540-667-8975",
            "fax_number": "540-667-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENSON",
        "first_name": "STEPHEN",
        "middle_name": "HUDNALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101035437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010094976",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00155353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00803416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.