NPIMap

Individual provider Active NPI

Martha Cecile Fraley, MD

  • Pediatrics Physician
  • Durango, CO
National Provider Identifier
1780701649
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33073 Issued in CO
Practice address
810 East 3Rd St, Suite #301
Pediatric Partners of the Southwest
Durango, CO 81301
Phone
(970) 375-0100
Fax
(970) 375-9210
NPI assigned
Mar 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33073 CO Primary
Pediatrics Physician 208000000X 208000000X CO

Addresses

Primary practice location

810 East 3Rd St, Suite #301
Pediatric Partners of the Southwest
Durango, CO 81301

Mailing address

810 East 3Rd St Suite #301
Pediatric Partners of the Southwest
Durango, CO 81301
Phone (970) 375-0100

Other identifiers 1

IdentifierTypeStateIssuer
01337039MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208000000XCOMDPediatrics Physician
33073COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of the Southwest P.C. Pediatrics Past Accepting new patients
Advanced Fertility Care, PLLC Past Accepting new patients
Southwest Womens Health Associates Past Accepting new patients
Pediatric Partners of the Southwest Pediatrics Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1780701649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EAST 3RD ST SUITE #301",
            "address_2": "PEDIATRIC PARTNERS OF THE SOUTHWEST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-375-0100",
            "fax_number": "970-375-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EAST 3RD ST, SUITE #301",
            "address_2": "PEDIATRIC PARTNERS OF THE SOUTHWEST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-375-0100",
            "fax_number": "970-375-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "MARTHA",
        "middle_name": "CECILE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "33073",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "208000000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01337039",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.