MARTIN G DEGROOT (NPI# 1427304864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427304864 |
| Entity Type | Individual |
| Full Name | MARTIN G DEGROOT |
| Credential | PA-C |
| Practice Address |
17200 Nw Corridor Ct Suite 105 Beaverton OR 97006-3295 |
| Practice Telephone | 5036148400 |
| Mailing Telephone | 5036148400 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17200 NW CORRIDOR CT SUITE 105 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-3295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831110964 | Thomas D Gilberts Md LLC | Internal Medicine | 17200 Nw Corridor Ct, Suite 105, Beaverton, OR 97006-3295 | 2006-07-22 |
| 1376995969 | Anna Rose Herron | Massage Therapist | 17200 Nw Corridor Ct, Suite 105, Beaverton, OR 97006-3295 | 2016-07-07 |
| 1699018770 | Somsay Cheun | Specialist | 17200 Nw Corridor Ct, Suite 111, Beaverton, OR 97006-3295 | 2013-03-27 |
| 1144567967 | Andrew Murison | Non-Pharmacy Dispensing Site | 17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295 | 2013-01-14 |
| 1457604654 | Oregon City Medical | Clinic/Center | 17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295 | 2012-10-25 |
| 1639421506 | Janelle Siler | Naturopath | 17200 Nw Corridor Ct, Ste 110, Beaverton, OR 97006-3295 | 2012-10-03 |
| 1336495175 | Somsay L Cheun | Massage Therapist | 17200 Nw Corridor Ct, Suite 100, Beaverton, OR 97006-3295 | 2012-07-30 |
| 1346504180 | Vansay Cheun | Acupuncturist | 17200 Nw Corridor Ct, Suite 100, Beaverton, OR 97006-3295 | 2012-06-26 |
| 1255607446 | Beaverton Family Medicine | Family Medicine | 17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295 | 2012-04-01 |
| 1154600567 | C and C Chiropractic | Chiropractor | 17200 Nw Corridor Ct, Suite 100, Beaverton, OR 97006-3295 | 2011-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316289614 | Nancy Janette Meza | Physician Assistant | 13000 Sw 2nd St, Beaverton, OR 97005-2615 | 2013-03-25 |
| 1679681035 | Kathi Norman | Physician Assistant | 11870 Sw Clifford St, Beaverton, OR 97008-5832 | 2006-08-27 |
| 1760424972 | Richard A Call | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2006-06-12 |
| 1689655938 | Natacha Yaiko Yonezuka-gullo | Physician Assistant | 1960 Nw 167th Pl, Su 205, Beaverton, OR 97006 | 2005-11-11 |
| 1225019581 | John A Voss | Physician Assistant | 1960 Nw 167th Place, Suite 205, Beaverton, OR 97006 | 2005-11-11 |
| 1649671132 | Cord Keel | Physician Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2014-09-16 |
| 1821412768 | Paul Raymond Mcgown | Physician Assistant | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-02-12 |
| 1134420656 | Jonathan Richard Tardiff | Physician Assistant | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2010-11-15 |
| 1083924948 | Judy Ellen Flynn | Physician Assistant | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 | 2010-10-13 |
| 1235234881 | Elizabeth M Upton | Physician Assistant | 11200 Sw Murray Scholls Pl, Beaverton, OR 97007-9702 | 2006-09-14 |
| Find all providers in BEAVERTON | ||||
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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.