Stephanie Martin, D.O.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

3552 Issued in AZ

Practice address

4864 E Baseline Rd Ste 101
Mesa, AZ 85206-4629

Phone

(480) 756-6000

Fax

(480) 546-4136

NPI assigned

Apr 13, 2006

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Obstetrics/Gynecology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4

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.

• Valley Perinatal Services, LLC

  • Maternal & Fetal Medicine Physician
  • Chandler, AZ
  • NPI 1174866743

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Fetal and Women'S Center of Arizona, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1801822119
  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  • Pediatric Cardiology Physician
  • Phoenix, AZ
  • NPI 1346269594
  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1407957152

  Maternal & Fetal Medicine

  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": "1617926400000",
    "number": "1679537997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064629",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064629",
            "telephone_number": "480-756-6000",
            "fax_number": "480-546-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 W Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246236",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 W Thomas Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373360",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9440 E Ironwood Square Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584569",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2242 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024704",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 W Eugie Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041273",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 N 3rd St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041153",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "3552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515736",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.martin.1@20219.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Valley Perinatal Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4864 E Baseline Rd Ste 101",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852064629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Ann Martin
• Pamella Lynn Martin, RPH
• Raseline Martin
• Rebeca Martin, RBT
• Ronald Martin
• Stephanie Dianne Martin
• Tammy Cheri Martin, LCSW
• Brandon Guillermo Martinez Carrasco
• Ivon Martinez Jimenez
• Ashley Lizbeth Martinez Lopez

• Maternal & Fetal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Maternal & Fetal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.