Ellen M Martin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN219942L Issued in PA

Practice address

2603 Kaiser Blvd
Wyomissing, PA 19610-3341

Phone

(610) 988-5089

Fax

(610) 988-5135

NPI assigned

Sep 16, 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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• The Reading Hospital Surgicenter at Spring Ridge LLC

  • Ambulatory Surgical Clinic/Center
  • Wyomissing, PA
  • NPI 1164490728

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1720184583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 KAISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "610-988-5089",
            "fax_number": "610-988-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KAISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "610-988-5089",
            "fax_number": "610-988-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN219942L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Mannino, LPC
• Judy Ann Marburger, LPN
• Joseph A Mariglio, M.D.
• Hope Markowski
• Cameran K Martin
• Robert Eugene Martin, D.M.D
• Tonya Michelle Martin
• Virginia Martin
• Yudelicis Orquidia Martinez Ventura
• Jeffrey L Martinez, P.A.

• All providers in Wyomissing, PA
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.