Jessica Martin (NPI# 1134467368, PAC ID# 5092953091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134467368 |
| PAC ID by PECOS | 5092953091 |
| Professional Enrollment ID | I20140609002507 |
| Full Name | Jessica Martin |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Address |
960 N 16th St Suite 200 Springfield OR 97477-4175 |
| Phone Number | 5413452205 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254307994 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3154 W 11th Ave, Eugene, OR 97402-3104 | 5419886200 | HEALOGICS SPECIALTY PHYSICIANS OF OREGON LLC |
| 598 E 13th Ave, Eugene, OR 97401-4783 | 5416363473 | ICCO LLC |
| 1460 G St, Springfield, OR 97477-4112 | 5417264400 | HEALOGICS SPECIALTY PHYSICIANS OF OREGON LLC |
| 960 N 16th St, Suite 200, Springfield, OR 97477-4175 | 5413452205 | MCKENZIE PHYSICIAN SERVICES LLC |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig A Peck | Nurse Practitioner | Mckenzie Physician Services LLC | 4480g Hwy 101, Florence, OR 97439-8910 |
| John Egar | Internal Medicine | Mckenzie Physician Services LLC | 705 9th St, Florence, OR 97439-8479 |
| Kristen Dodd | Physician Assistant | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kimya Nguyen | Gastroenterology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Jose Viramontes | Vascular Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Teresa Meagher Lanier | Family Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Ian L Liao | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Mhd Tarek Nashawi | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Patrick J Bergin | Interventional Cardiology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| John M Armitage | Cardiac Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Street Address |
960 N 16TH ST SUITE 200 |
| City | SPRINGFIELD |
| State | OR |
| Zip | 97477-4175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan M Mcvay | General Surgery | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Maile E Parker | General Surgery | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Nhan V. Pham | General Surgery | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Eric James Nordsieck | Internal Medicine | Mckenzie Physician Services LLC | 960 N 16th St, Suite 304, Springfield, OR 97477-4175 |
| Jay H Chappell | Cardiovascular Disease (cardiology) | Mckenzie Physician Services LLC | 960 N 16th St, Suite 304, Springfield, OR 97477-4175 |
| Paula F Ciesielski | Internal Medicine | Mckenzie Physician Services LLC | 960 N 16th St, Springfield, OR 97477-4175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Trezona | Surgical Oncology | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Sydney Katherine Johnstone | Physician Assistant | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Jason R Oilar | Optometry | 3783 International Ct, Suite 160, Springfield, OR 97477-1025 | |
| Deven L Smith | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lauren A Hammock | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Denis M Mccarthy | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| John Paul Ditomasso | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| David Scott Meyers | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lamont A Wettstein | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Joe Robert Mcfarlane | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Find all physicians in zip 97477 | |||
| City | SPRINGFIELD |
| Zip Code | 97477 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRINGFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.