Healthcare Provider Details

I. General information

NPI: 1447482724
Provider Name (Legal Business Name): BENJAMIN ANDREW MAERTINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N 30TH ST. CREIGHTON UNIVERSITY GME SUITE 1609
OMAHA NE
68131-2137
US

IV. Provider business mailing address

601 N 30TH ST. CREIGHTON UNIVERSITY GME - SUITE 1609
OMAHA NE
68131-2137
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-5250
  • Fax:
Mailing address:
  • Phone: 402-280-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number28568
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number28568
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: