Marta R Mortensen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

102738 Issued in MO

Practice address

8793 Watson Rd
Saint Louis, MO 63119-5111

Phone

(314) 961-0900

Fax

(314) 961-0909

NPI assigned

May 18, 2006

Last updated

Feb 26, 2013By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

Saint Louis University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri State UniversityGroup PAC ID 7214919661, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Magers Family Health and Wellness Center

  dba Magers Health and Wellness Center

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1073600334
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1538112883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8793 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195111",
            "telephone_number": "314-961-0900",
            "fax_number": "314-961-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8793 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195111",
            "telephone_number": "314-961-0900",
            "fax_number": "314-961-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "MARTA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "102738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH",
            "identifier": "005014518",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205163306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary M Morse, PH.D.
• Patrick Fleming Morse, MD
• Susan Meecham Morse, PH.D.
• Stephanie Alyssa Mort, COTA
• Angela C Mortensen, PMHNP
• Paula Artaserse Mortenson, CPNP
• Robyn Nicole Mortenson, M.S.D.E
• Ashley E Morton, ANP
• Catherine J Morton
• David J. Morton, M.D.

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.