STEPHANIE RUTH MARTINDALE P.A. NPI 1477510808

NPI Information

NPI: 1477510808
Provider Name: STEPHANIE RUTH MARTINDALE, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-0500
Get Directions

Stephanie Ruth Martindale, P.A. is a medical physician assistant in Baltimore, MD. Stephanie Ruth Martindale, P.A. NPI is 1477510808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224-735
Phone: (410) 550-0500

The enumeration date for this NPI number is 4/28/2006 and was last updated on 12/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	969	OKLAHOMA	No
2	363AM0700X	Physician Assistant	Medical	C03737	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	970028541	OTHER	OKLAHOMA	RR MEDICARE
2	100850300A	MEDICAID	OKLAHOMA
3	128939Y9Q	MEDICARE PIN	MARYLAND
4	P51721	MEDICARE UPIN	OKLAHOMA
5	249600608	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
6	249600609	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
7	970028542	OTHER	OKLAHOMA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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