MARTIN MUY-RIVERA (NPI# 1457540825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457540825 |
| Entity Type | Individual |
| Full Name | MARTIN MUY-RIVERA |
| Credential | PA-C |
| Practice Address |
500 Sw 39th St Suite 150 Renton WA 98057-4915 |
| Practice Telephone | 4252642568 |
| Practice Fax Number | 4252642569 |
| Mailing Telephone | 4252642568 |
| Mailing Fax Number | 4252642569 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10005323 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10005323 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6240 Tacoma Mall Blvd Ste 101, Tacoma, WA 984096819 | 2532719720 | 2532123372 |
| Street Address |
500 SW 39TH ST SUITE 150 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708398 | Timothy D Stensby | Physical Therapist | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2005-08-23 |
| 1154665602 | Wendy Blair | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2012-11-22 |
| 1154683563 | Bethany L Card | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2012-06-12 |
| 1003181942 | Adam Christopher Pazder | Dietitian, Registered | 500 Sw 39th St, Ste 150, Renton, WA 98057-4915 | 2012-03-10 |
| 1710270210 | Carol Jean White | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2011-05-17 |
| 1700031861 | Dwayne Eric Hammond | Physician Assistant | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-11-17 |
| 1023262896 | Stacey Debra Oberst Peterson | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-11-06 |
| 1558518829 | Nutrition Solutions, LLC | Nutritionist | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-08-19 |
| 1861648420 | Raven Bonnar-pizzorno | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-08-14 |
| 1457520223 | Greg J Pang | Technician, Other | 500 Sw 39th St, Renton, WA 98057 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| 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 |
|---|---|---|---|---|
| 1356998926 | John William Nickens | Physician Assistant | 2223 Benson Rd S Apt D202, Renton, WA 98055-4339 | 2019-08-20 |
| 1013428739 | Francisco Barrera | Physician Assistant | 1412 Sw 43rd St Ste 140, Renton, WA 98057-4803 | 2017-10-20 |
| 1144613589 | Adrian Hagan | Physician Assistant | 4126 Ne 5th St, Renton, WA 98059-4708 | 2015-03-10 |
| 1023217981 | Jennifer Lynn Pinson | Physician Assistant | 350 S 38th Ct Ste 115, Renton, WA 98055-5777 | 2007-07-12 |
| 1366061079 | Erin Leigh Bennett | Physician Assistant | 17722 Talbot Rd S, Renton, WA 98055-5744 | 2020-04-13 |
| 1740824861 | Kyle Trevor Mcgovern | Physician Assistant | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-31 |
| 1104460401 | Conrad Sheary | Physician Assistant | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-30 |
| 1013550623 | Justin Nguyen | Physician Assistant | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-10-26 |
| 1144886219 | Abbey Sattler | Physician Assistant | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2019-05-14 |
| 1710458559 | Trevor Romo | Physician Assistant | 3915 Talbot Rd S, Renton, WA 98055-5738 | 2018-12-05 |
| Find all providers in RENTON | ||||
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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.