DR. ROGER JAMES MARTINDALE (NPI# 1235401324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235401324 |
| Entity Type | Individual |
| Full Name | DR. ROGER JAMES MARTINDALE |
| Credential | DO |
| Practice Address |
2818 Stein Hill Ln Custer WA 98240-9243 |
| Practice Telephone | 3603662682 |
| Mailing Telephone | 3603662682 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 00000740 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
2818 STEIN HILL LN |
| City | CUSTER |
| State | WA |
| Zip Code | 98240-9243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386774925 | Noel Choquette | Physician Assistant | 2950 Jennifer Ln, Custer, WA 98240-9206 | 2007-03-06 |
| 1699136002 | Kayla Askew | Occupational Therapist | 3538 Birch Bay Lynden Rd, Custer, WA 98240-9508 | 2016-03-11 |
| 1528607322 | Kristy Moodie | Massage Therapist | 7858 Ham Rd, Custer, WA 98240-9517 | 2019-12-27 |
| 1467814640 | Beverly Kathleen Pritchett | Behavioral Analyst | 9236 Delta Line Rd, Custer, WA 98240-9621 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469291 | Haley Layne Jorgensen | Physical Therapist | 886 Montgomery St Apt 8, Custer, SD 57730-1660 | 2020-05-26 |
| 1528607322 | Kristy Moodie | Massage Therapist | 7858 Ham Rd, Custer, WA 98240-9517 | 2019-12-27 |
| 1245876093 | Shellia Marie Bennett | Massage Therapist | 25389 Mccurran Ranch Rd, Custer, SD 57730-8309 | 2019-11-26 |
| 1235788118 | Linda Meronek | Technician | 2856 County K North, Custer, WI 54423 | 2019-09-04 |
| 1952969123 | Nancy Nicole Peterson | Counselor | 1369 Montgomery St, Custer, SD 57730-8246 | 2019-06-03 |
| 1003304205 | New Trails Ministry, Inc | Clinic/Center | 11455 Elliott Rd, Custer, SD 57730-8239 | 2018-04-24 |
| 1134626492 | Patricia Ann Gregory | Physical Medicine & Rehabilitation | 9108 Highway 401, Custer, KY 40115-5008 | 2018-04-12 |
| 1093227381 | Alexus Cox | Student in an Organized Health Care Education/Training Program | 6377 S Eden Lake Rd, Custer, MI 49405-9654 | 2017-10-26 |
| 1255854998 | Kelli Bolton | Specialist/Technologist | 527 Montgomery St, Custer, SD 57730-1124 | 2017-07-25 |
| 1467814640 | Beverly Kathleen Pritchett | Behavioral Analyst | 9236 Delta Line Rd, Custer, WA 98240-9621 | 2016-03-25 |
| Find all providers in CUSTER | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
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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.