MR. JUSTIN SCOT CORTEZ (NPI# 1356801328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356801328 |
Entity Type | Individual |
Full Name | MR. JUSTIN SCOT CORTEZ |
Credential | RN, MSN, APRN FNP-C |
Practice Address |
2303 S Highway 65 Ste A Marshall MO 65340-3735 |
Mailing Address |
Po Box 104240 Jefferson City MO 65110-4240 |
Practice Telephone | 6608863364 |
Practice Fax Number | 6608866044 |
Mailing Telephone | 5735565771 |
Mailing Fax Number | 5736369756 |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-03-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019008162 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2303 S HIGHWAY 65 STE A |
City | MARSHALL |
State | MO |
Zip Code | 65340-3735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235533498 | Jefferson City Medical Group-p C | Internal Medicine | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2014-10-17 |
1316435225 | Tracy Jean Guthrie | Nurse Practitioner | 2303 S Highway 65 Ste A, Marshall, MO 65340 | 2018-04-25 |
1437668746 | Jefferson City Medical Group, PC | Clinic/Center | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2017-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
Find all providers in zip 65340 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578190088 | Michelle Ann Orange | Nurse Practitioner | 230 Wagon Trl, Marshall, AR 72650-7002 | 2020-03-25 |
1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
1679135958 | Bernice Alice Theule | Nurse Practitioner | 111 S Hamilton St, Marshall, MI 49068-1537 | 2019-07-08 |
1891207379 | Amy Ellen Jean Howell | Nurse Practitioner | 1174 W Michigan Ave Ste B, Marshall, MI 49068-1625 | 2017-10-24 |
1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
1669786216 | Pamela Madden Frisby | Nurse Practitioner | 4401 Us Hwy 25/70, Marshall, NC 28753 | 2010-08-05 |
1427293067 | Diane Marie Weinreich | Nurse Practitioner | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2008-12-11 |
Find all providers in MARSHALL |
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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.