DR. JACOB H. MARTENS (NPI# 1114152493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114152493 |
| Entity Type | Individual |
| Full Name | DR. JACOB H. MARTENS |
| Credential | M.D. |
| Practice Address |
414 Kent St Wausau WI 54403-6927 |
| Practice Telephone | 7158451912 |
| Mailing Telephone | 7158451912 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
14175-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31134100 | 05 |
| Street Address |
414 KENT ST |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376555839 | Stephen B Stine | Radiology | 3200 Westhill Dr Ste 210, Wausau, WI 54401-4707 | 2006-08-13 |
| 1750700688 | Endel Aleksander Sorra II | Radiology | 333 Pine Ridge Blvd, Aspirus Hospital, Wausau, WI 54401 | 2014-04-08 |
| 1780014407 | Aspirus Wausau Hospital, Inc | Radiology | 3200 Westhill Dr, Wausau, WI 54401-4705 | 2013-11-15 |
| 1063674224 | Derrick Robson Siebert | Radiology | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2008-06-30 |
| 1952490054 | Aspirus Inc | Radiology | 3200 Westhill Dr, Wausau, WI 54401-4705 | 2006-10-12 |
| 1306946025 | Rosita S Go | Radiology | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2006-09-23 |
| 1417057142 | Mark W De Clute | Radiology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-09-23 |
| 1922118512 | Alan C Williams | Radiology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-30 |
| 1255343703 | Vinay D Luthra | Radiology | 3200 Westhill Dr Ste 210, Wausau, WI 54401-4707 | 2006-08-13 |
| 1992714810 | John R Sorenson | Radiology | 3200 Westhill Dr, Suite 210, Wausau, WI 54401-4705 | 2006-08-07 |
| Find all providers in WAUSAU | ||||
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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.