Active NPI
Christopher William Martella, DO
- Family Medicine Physician
- Fort Collins, CO
National Provider Identifier
1962479063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43310
- Practice address
- 3519 Richmond Dr
Fort Collins, CO 80526-5995 - Phone
- (970) 204-0300
- Fax
- (970) 226-9041
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 43310 | CO | |
| Emergency Medicine Physician | 207P00000X | A-1353-06 | NM | |
| Family Medicine Physician | 207Q00000X | 43310 | CO | Primary |
Addresses
Primary practice location
3519 Richmond Dr
Fort Collins, CO 80526-5995
Mailing address
3702 Automation Way
Suite 103
Fort Collins, CO 80525-5737
Phone (970) 224-1670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66756332 | Medicaid | NM | |
| 36372048 | Medicaid | CO |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43310 | CO | MD | Emergency Medicine Physician |
| A-1353-06 | NM | MD | Emergency Medicine Physician |
| 43059 | CO | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Emergency Med Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Bayfront Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Somers Point, NJ
- NPI 1215998273
-
- Emergency Medicine Physician
- Paoli, PA
- NPI 1316919368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1962479063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 AUTOMATION WAY",
"address_2": "SUITE 103",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255737",
"telephone_number": "970-224-1670",
"fax_number": "970-495-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 RICHMOND DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265995",
"telephone_number": "970-204-0300",
"fax_number": "970-226-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELLA",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "43310",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "A-1353-06",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "43310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66756332",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36372048",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.