MARK CHRISTOPHER MARTINDALE (NPI# 1508416785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508416785 |
| Entity Type | Individual |
| Full Name | MARK CHRISTOPHER MARTINDALE |
| Credential | PA-C |
| Practice Address |
2450 Sw Perkins Ave Pendleton OR 97801-4302 |
| Practice Telephone | 5412761700 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
195968 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659555811 | Mark Martindale | Dentist | 1528 Lucky St, Griffin, GA 30223-1176 | 2007-12-24 |
| 1205911849 | Mark A Martindale | Internal Medicine | 5 Medical Park Dr, Suite 102a, Benton, AR 72015-3729 | 2006-10-25 |
| 1134226723 | Mark W Martindale | Optometrist | 201 N Main St, Ripley, MS 38663-2027 | 2006-09-17 |
| Street Address |
2450 SW PERKINS AVE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104846351 | Robert G Johnson Jr. | Family Medicine | 2450 Sw Perkins Ave, Pendleton, OR 97801 | 2006-07-20 |
| 1992352892 | Meredith Cooper Dahle | Physician Assistant | 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2019-08-25 |
| 1013409135 | Miriam Moriah Drummond | Physician Assistant | 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2018-06-04 |
| 1386145993 | Praxis Medical Group, Inc. | Clinic/Center | 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2018-02-28 |
| 1417390949 | Jacqueline Elizabeth Brown | Physician Assistant | 2450 Sw Perkins Ave, Pendleton, OR 97801 | 2013-04-15 |
| 1104170489 | Chloe Kay Norris | Physician Assistant | 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2012-11-07 |
| 1669745469 | Danielle Kathryn Addleman | Physician Assistant | 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2012-02-10 |
| 1245568864 | Heidi A Tate | Physician Assistant | 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430985 | Cesareo Texidor | Physician Assistant | 17 Sw Frazer Ave, Pendleton, OR 97801-2163 | 2005-10-07 |
| 1356772362 | Nora Kiggins | Physician Assistant | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2013-12-02 |
| 1598741860 | Bryan Lee Canwell | Physician Assistant | 46314 Timine Way, Pendleton, OR 97801 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| 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.