MARTHA MAUPIN MEDLICOTT (NPI# 1023008208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023008208 |
| Entity Type | Individual |
| Full Name | MARTHA MAUPIN MEDLICOTT |
| Credential | OB/GYN N.P. |
| Practice Address |
276 International Cir San Jose CA 95119-1130 |
| Mailing Address |
4041 Acapulco Dr Campbell CA 95008-3800 |
| Practice Telephone | 4089726270 |
| Practice Fax Number | 4089276966 |
| Mailing Telephone | 4083746321 |
| Mailing Fax Number | 4083746341 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
406171 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
276 INTERNATIONAL CIR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807876 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 276 International Cir, San Jose, CA 95119-1130 | 2020-03-26 |
| 1427685734 | Ellen Wallace | Student in an Organized Health Care Education/Training Program | 276 International Cir, San Jose, CA 95119-1130 | 2020-03-25 |
| 1093246373 | Tam Thai | Pharmacist | 276 International Cir, San Jose, CA 95119-1130 | 2017-03-27 |
| 1033596267 | Shequella Garvey | Family Medicine | 276 International Cir, San Jose, CA 95119-1130 | 2015-04-27 |
| 1902224215 | Amy Patel Couturier | Pediatrics | 276 International Cir, San Jose, CA 95119-1130 | 2014-04-03 |
| 1285059063 | Silvia Shin | Family Medicine | 276 International Cir, San Jose, CA 95119-1130 | 2014-03-03 |
| 1114365897 | Camilla Guitarte | Obstetrics & Gynecology | 276 International Cir, San Jose, CA 95119-1130 | 2013-06-04 |
| 1053655431 | Dana Chang | Registered Nurse | 276 International Cir, Unit E, San Jose, CA 95119-1130 | 2012-11-25 |
| 1205194719 | Divya Arnold Reouk | Family Medicine | 276 International Cir, San Jose, CA 95119-1130 | 2012-05-03 |
| 1922277078 | Jin Sae Rhee | Pediatrics | 276 International Cir, Department of Pediatrics, Unit C, San Jose, CA 95119-1130 | 2008-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205855889 | Mercedes Lucille Holland | Nurse Practitioner | 2076 Wente Way, San Jose, CA 95125 | 2006-07-18 |
| 1376534008 | Beverly J Elemen | Nurse Practitioner | 276 International Circle, San Jose, CA 95119 | 2005-11-02 |
| 1518362466 | Kelsey Lynd | Nurse Practitioner | 2400 Samaritan Dr Ste 105, San Jose, CA 95124-3910 | 2014-11-04 |
| 1770823866 | Emily Johannah Peters-limbeck | Nurse Practitioner | 125 N Jackson Ave, San Jose, CA 95116-1903 | 2013-02-26 |
| 1184813958 | Angelica Holden | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2007-10-17 |
| 1235207598 | Gloria Luz Sanchez | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2006-12-02 |
| 1952479214 | Lisa Friedrichs | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2006-12-02 |
| 1497820393 | Leila Van Gelder | Nurse Practitioner | 276 International Circle, Kaiser Permanente Dept Obgyn, San Jose, CA 95119 | 2006-11-24 |
| 1487746772 | Catherine Ann Allen | Nurse Practitioner | 260 International Cir, San Jose, CA 95119-1130 | 2006-09-28 |
| 1508968918 | Cynthia Liu | Nurse Practitioner | 276 International Circle, San Jose, CA 95119 | 2006-09-05 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.