Joseph Leon Martindale

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

O-0391 Issued in ID

Legal business name

JOSEPH LEON MARTINDALE

Practice address

4460 Central Way
Ste 3
Chubbuck, ID 83202-5095

Phone

(208) 237-3612

Fax

(208) 237-5192

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Leon Martindale

Title

Owner

Phone

(208) 237-3612

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1689850877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CENTRAL WAY",
            "address_2": "STE 3",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025095",
            "telephone_number": "208-237-3612",
            "fax_number": "208-237-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CENTRAL WAY",
            "address_2": "STE 3",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025095",
            "telephone_number": "208-237-3612",
            "fax_number": "208-237-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH LEON MARTINDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-237-3612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "O-0391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538262589",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Johnson, BI
• Beverly Grigg Jones, LPC, NCC
• Robert Randall Jones Jr., MD
• William Jordan, PHARMD
• Grace Elaine Jory, PT, DPT
• Joseph Martindale, DO,PA
• Matthew Kam
• Brandi B Karroum, NP-C
• Renee Lynn Katter, PA-C
• Nora L Kirkpatrick, PA

• Psychiatry Physician in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.