Provider Demographics
NPI:1629072228
Name:BEGGS, MARTIN LYNN (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:LYNN
Last Name:BEGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8702
Mailing Address - Country:US
Mailing Address - Phone:970-624-4443
Mailing Address - Fax:970-490-4175
Practice Address - Street 1:525 N FOOTE AVE
Practice Address - Street 2:STE 302
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-4501
Practice Address - Country:US
Practice Address - Phone:719-365-5445
Practice Address - Fax:719-365-5530
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49106208G00000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO93979321Medicaid
COCOA101232Medicare PIN
F83521Medicare UPIN
FL41703XMedicare PIN
FLF83521Medicare UPIN
FLP00033132OtherRAILROAD MEDICARE PROVIDE
FL41703WMedicare PIN
FL41703OtherBCBS PROVIDER #
COCOA101232Medicare PIN