Mark J Martineau, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN081644 Issued in AZ

Practice address

1700 Cerillos Road
Santa Fe, NM 87505

Phone

(505) 946-9557

NPI assigned

Jun 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NM, CO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Uniformed Services Uhs Fe Hebert School of Med, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pueblo Anesthesia and Pain ServicesGroup PAC ID 0042301707, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Alamos Medical Center Hospital, Los Alamos, NM, CCN 320033

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iug8063@yourcarecommunity.org

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.

• Pueblo Anesthesia & Pain Services

  • Pediatric Anesthesiology Physician
  • Los Alamos, NM
  • NPI 1831305036

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of New Mexico P C

  • Specialist
  • Albuquerque, NM
  • NPI 1912900754
  Medicare reassignment NPD
• Main Street Anesthesia of New Mexico, LLC

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1275010985
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cochiti Health Clinic

  • General Acute Care Hospital
  • Cochiti Pueblo, NM
  • NPI 1093814691
  NPD (past)
• San Felipe Health Clinic

  • General Acute Care Hospital
  • San Felipe, NM
  • NPI 1831274851
  NPD (past)
• Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
  • NPI 1043396377
  NPD (past)
• Santo Domingo Health Clinic

  • General Acute Care Hospital
  • Santo Domingo Pueblo, NM
  • NPI 1376632695
  NPD (past)
• DHHS PHS Naihs Fort Defiance Hospital

  dba PHS Fort Defiance Indian Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PHC-Los Alamos Inc

  dba Los Alamos Medical Center

  • Rural Acute Care Hospital
  • Los Alamos, NM
  • NPI 1285701623
  Care Compare affiliation

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538102249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 VUELTA VISTOSO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-660-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CERILLOS ROAD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-946-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN081644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422585",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyn Martel, DOM
• Carol K Martell, LMHC
• Matthew Martin
• Megan Nicole Martin, LCSW
• Michael Ray Martin, DDS
• Uriel Narses Martinez Campos
• Maribel Martinez Diaz
• Cheyanne Rose Martinez Quintana
• Adrienne Ann Martinez, FNP-C
• Alyssa Martinez

• Certified Registered Nurse Anesthetist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.