Mary C. Martino, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

16 Issued in CO

Practice address

184 S Tiffany Dr
Ste 108
Pueblo West, CO 81007-3583

Phone

(719) 671-6674

Fax

(719) 647-0262

NPI assigned

Sep 20, 2006

Last updated

Feb 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Professional Hearing Solutions, Inc

  • Audiologist
  • Pueblo West, CO
  • NPI 1518134089
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1528165776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 S TIFFANY DR",
            "address_2": "STE 108",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073583",
            "telephone_number": "719-671-6674",
            "fax_number": "719-647-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S TIFFANY DR",
            "address_2": "STE 108",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073583",
            "telephone_number": "719-671-6674",
            "fax_number": "719-647-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "MARY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07686405",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Manao, RN
• Mary Beth Mandery, R.N.
• Veronika Marmolejo, MSW, SWC
• Jodi Martinez Magallanes
• Talonna Martinez, LCSW
• Maulin Medical LLC
• Nina Maurello, MSW
• Laura Lynn Maynes Cortez, MSW
• Amanda McBeain
• Debra J McCormack, MD

• Audiologist in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.