Martha Carolyn Dannenbaum, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

H4265 Issued in TX

Practice address

A P Beutel Health Ctr
Tamu 1264
College Station, TX 77843-1264

Phone

(979) 458-8300

Fax

(979) 458-8314

NPI assigned

Dec 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Obstetrical & Gynecological Assoc of Tulsa

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
  • NPI 1285646018
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1922160902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A P BEUTEL HEALTH CTR",
            "address_2": "TAMU 1264",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431264",
            "telephone_number": "979-458-8300",
            "fax_number": "979-458-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A P BEUTEL HEALTH CTR",
            "address_2": "TAMU 1264",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431264",
            "telephone_number": "979-458-8300",
            "fax_number": "979-458-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNENBAUM",
        "first_name": "MARTHA",
        "middle_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "H4265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel & Max, LLC
• Julia Daniel, OTD, OTR
• William Wayner Daniels, DMD
• Brant Joseph Danley, PA-C
• Joseph Henry Dannenbaum III, ATC, CSCS
• Jarmara Laurette Darcey, MD, FACOG
• Chelsea Elaine Darling, FNP-C
• Gerald Darling III, PA-C
• Katherine Daugherty, SLP
• Floyd R Daughters, ATC, LAT

• Gynecology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.