| Joseph L Martindale, DO | |
|
8931 Huron St, Thornton, CO 80260-6806 | |
| (303) 853-3654 | |
| (303) 853-3656 |
| Full Name | Joseph L Martindale |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 8931 Huron St, Thornton, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538262589 | NPI | - | NPPES |
| 807512400 | Medicaid | ID | |
| 000010157051 | Other | ID | REGENCE BLUE SHIELD |
| S6023 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 48367 (Colorado) | Primary |
| Entity Name | Mission Health Community Multispecialty Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L Martindale, DO 3898 Birchwood Dr, Boulder, CO 80304-1419 Ph: () - | Joseph L Martindale, DO 8931 Huron St, Thornton, CO 80260-6806 Ph: (303) 853-3654 |
Hua Judy Chen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9141 Grant St, Ste 237, Thornton, CO 80229 Phone: 303-452-1292 Fax: 303-452-6225 | |
Dr. James Donald Baker, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8989 Huron St, Thornton, CO 80260 Phone: 303-853-3500 Fax: 303-853-3702 | |
James Crosby, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9141 Grant St, 237, Thornton, CO 80229 Phone: 303-452-1292 Fax: 303-452-6225 | |
Jordan Matus, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Dr. Abdelrahman Selim, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Michael Reid Mayo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 Fax: 303-853-3702 | |
Dr. Soyna Gulhati, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 |