SHANE A MARX (NPI# 1477199537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477199537 |
| Entity Type | Individual |
| Full Name | SHANE A MARX |
| Practice Address |
6200 Poplar Ln Independence OR 97351-9659 |
| Practice Telephone | 5039993833 |
| Mailing Telephone | 5039993833 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
6200 POPLAR LN |
| City | INDEPENDENCE |
| State | OR |
| Zip Code | 97351-9659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868515 | Independence-monmouth Family Medicine PC | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1821070111 | Kenneth R Winokur | Dentist | 329 South Main St, Independence, OR 97351 | 2005-11-14 |
| 1710044144 | Kenneth R Winokur Dmd PC | Dentist | 329 S Main St, Independence, OR 97351 | 2007-01-03 |
| 1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
| 1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
| 1518127844 | David Patrick Mcdarby | Physical Therapist | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1881854115 | Bobbi Jo Shrum | Physical Therapy Assistant | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1639426208 | Central School District 13j | Local Education Agency (LEA) | 1610 Monmouth St, Independence, OR 97351-1008 | 2012-08-13 |
| 1851645931 | Holli Watkin | Nurse Practitioner | 1601 Monmouth St Ste 100, Independence, OR 97351-1019 | 2012-10-29 |
| Find all providers in zip 97351 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986172 | Lyndon Labrake | Technician | 6728 Ivandale Rd, Independence, OH 44131-5312 | 2020-09-11 |
| 1831740919 | Rebecca Von Atkinson | Technician | 1920 S Viking Ct, Independence, MO 64057-2059 | 2019-09-20 |
| 1568011047 | Tamme M Williams | Technician | 1510 S Pleasant St, Independence, MO 64055-1145 | 2019-09-08 |
| 1508414459 | Savannah Roberson | Technician | 3509 S Bowen St, Independence, MO 64055-3201 | 2019-09-03 |
| 1538717988 | Kathy Ann Allsup | Technician | 2617 Quasqueton Diag Blvd. #4, Independence, IA 50644 | 2019-08-29 |
| 1750939500 | Mary Teresa Goens | Technician | 801 Stevies Trl, Independence, KY 41051-8363 | 2019-08-26 |
| 1275180259 | Victoria Patricia Larkin | Technician | 19110 E Park St, Independence, MO 64058-1371 | 2019-08-23 |
| 1487269825 | Mary L Labrake | Technician | 6728 Ivandale Rd, Independence, OH 44131-5312 | 2020-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575388 | Sierra N Thomas | Technician | 3827 Pine St Se, Albany, OR 97322-6161 | 2020-10-14 |
| 1275157190 | Camille R Hernandez | Technician | 1940 Sw Forest Ridge Ave, Bend, OR 97702-1917 | 2020-06-05 |
| 1790308567 | Christina Marie La Fon | Technician | 2280 Ne Cherry Loop, Prineville, OR 97754-9328 | 2020-05-27 |
| 1033738109 | Irene Sanae Higashi-breshears | Technician | 1000 Ne 10th Ave, Canby, OR 97013-3207 | 2020-04-09 |
| 1841822996 | Beverley Ann Service | Technician | 2355 Morrow Ct Nw, Salem, OR 97304-1763 | 2020-02-06 |
| 1669019444 | Rebecca Baxter | Technician | 300 Boulder Falls Dr Apt E117, Lebanon, OR 97355-2882 | 2019-11-29 |
| 1114563459 | Cecilia Dwigans | Technician | 485 Colonial Ct, Tillamook, OR 97141-6100 | 2019-11-21 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1396389714 | Linda Lee Parker | Technician | 468 Palmer Dr N, Keizer, OR 97303-7424 | 2019-10-29 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 97351 |
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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.