SHANE MARTIN (NPI# 1952815532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952815532 |
Entity Type | Individual |
Full Name | SHANE MARTIN |
Other Name | SHANE MARTIN |
Credential | RN |
Practice Address |
2110 Augusta St Eugene OR 97403-2202 |
Practice Telephone | 4056305159 |
Mailing Telephone | 4056305159 |
Enumeration Date | 2017-11-19 |
Last Update Date | 2019-07-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
201810779RN | OR | Nursing Service Providers |
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
116346 | OK | Nursing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2617 General Pershing Blvd, Oklahoma City, OK 731076437 | 4058581700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417439092 | Shane Douglas Martin | Counselor | 1333 Nw 9th St, Prineville, OR 97754-1482 | 2018-08-30 |
1235421090 | Shane Martin | Rehabilitation Practitioner | 100 Rosaschi Rd, Yerington, NV 89447-8722 | 2011-05-11 |
1386872588 | Shane Douglas Martin | Surgery | 4201 Campus Ridge Drive, Midland, MI 48640 | 2009-06-25 |
1588842843 | Shane M Martin | Pharmacist | 52d Medical Group, Unit 3865, Apo, AE 09126-3865 | 2008-02-07 |
1659351682 | Shane L Martin | Orthopaedic Surgery | 18700 N 64th Dr, Ste 105, Glendale, AZ 85308-7109 | 2006-01-17 |
Street Address |
2110 AUGUSTA ST |
City | EUGENE |
State | OR |
Zip Code | 97403-2202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
Find all providers in zip 97403 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881782845 | Eva Bagno | Registered Nurse | 655 W 27th Ave, Eugene, OR 97405-2535 | 2006-10-11 |
1386290773 | Nicholas A White | Registered Nurse | 3203 Willamette St, Eugene, OR 97405-3348 | 2019-08-13 |
1770936833 | Kristi Steinbacher | Registered Nurse | 2149 Centennial Plz, Eugene, OR 97401-2456 | 2016-07-13 |
1629433677 | Leah Schultz | Registered Nurse | 550 River Rd, Eugene, OR 97404-3212 | 2015-12-17 |
1588063705 | Angelyn Kross Miller | Registered Nurse | 2411 Martin Luther King Jr Blvd, Eugene, OR 97401-5824 | 2014-08-14 |
1942586904 | Jessica Osterman | Registered Nurse | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2011-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932747607 | Kendall Clayton Karch | Registered Nurse | 30 Ne Mlk Jr Blvd, Portland, OR 97232-2941 | 2019-12-12 |
1003315045 | Ryan Tateishi | Registered Nurse | 966 12th St Se Ste 110, Salem, OR 97302-2860 | 2018-02-05 |
1811349160 | Aleksey Maksimov | Registered Nurse | 4757 Parkview Dr Apt B, Lake Oswego, OR 97035-2426 | 2016-07-11 |
1366832461 | Maria Liotta Shindler | Registered Nurse | 6201 Ne Carillion Dr, Hillsboro, OR 97124-8590 | 2015-01-27 |
1346651882 | Holly Marie Matthews | Registered Nurse | 788 Saint Charles Pl, Hood River, OR 97031-8785 | 2014-05-19 |
1376987404 | Helen Erika Horst | Registered Nurse | 2020 State Rd, Mosier, OR 97040 | 2013-04-19 |
1598013997 | Trina Marie Espiasse | Registered Nurse | 47940 Sw Ihrig Rd, Forest Grove, OR 97116-7329 | 2012-08-16 |
1275810665 | Esther Gabrielle Rosengarten | Registered Nurse | 1020 Sw Taylor St Ste 745, Portland, OR 97205-2505 | 2011-11-14 |
1336436823 | Susan Elizabeth Stone | Registered Nurse | 19333 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2011-07-05 |
1598060832 | Michele Ann Moore | Registered Nurse | 20370 Poe Sholes Road, Bend, OR 97701 | 2011-01-18 |
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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.