Martin Appenzeller, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

37643 Issued in CO

Practice address

1008 Minnequa Ave
Pueblo, CO 81004-3733

Phone

(719) 560-4000

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Englewood, CO
  • NPI 1598747651
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1679537005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753744127",
            "telephone_number": "719-560-5030",
            "fax_number": "719-560-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "719-560-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPENZELLER",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "37643",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G78567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93873263",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Antu
• Hasan Aoun, DO
• Ap Foot and Ankle Specialists PC
• Apex Audiology LLC
• Maria Appenzeller, MA, CCC, SLP
• Applied Behavioral Concepts, LLC
• Apria Healthcare LLC
• Brittany Ann Aragon, OTA.0001622
• Don Aragon, BSW
• Harry J Aragon, APN

• Anatomic Pathology & Clinical Pathology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.