Martin R Roco (NPI# 1255683140, PAC ID# 8123254596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255683140 |
| PAC ID by PECOS | 8123254596 |
| Professional Enrollment ID | I20150608003084 |
| Full Name | Martin R Roco |
| Organization Legal Name | ICCO LLC |
| Address |
1445 Gateway Blvd Cottage Grove OR 97424-1224 |
| Phone Number | 5419427000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355406729 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381301 | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER |
| 380090 | BAY AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 5419427000 | ICCO LLC |
| 1890 Waite St, Suite 1, North Bend, OR 97459-1229 | 5414357033 | WATERFALL CLINIC INCORPORATED |
| Organization Legal Name | ICCO LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda M Bono | Nurse Practitioner | Icco LLC | 4480 Hwy 101 N, Florence, OR 97439 |
| Jessica L Guido | Nurse Practitioner | Icco LLC | 1740 Nw Goetz St, Roseburg, OR 97471-1613 |
| Cynthia J Smith | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Lyle R Torguson | Family Medicine | Icco LLC | 35859 Hwy 58, Pleasant Hill, OR 97455-9651 |
| Cynthia Renee Voegeli | Nurse Practitioner | Icco LLC | 1800 Coburg Rd, Eugene, OR 97401-4995 |
| Trina J Viner | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Mildred H Rowley | Family Medicine | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Nathaniel J Collins | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Erin P Cassidy | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Rachel Jean Nosce | Family Medicine | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Street Address |
1445 GATEWAY BLVD |
| City | COTTAGE GROVE |
| State | OR |
| Zip | 97424-1224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine Harrison Callahan | Internal Medicine | Icco LLC | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 |
| Thomas A Firth | Internal Medicine | Prime Med Urgent Care and Family Medicine Inc | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Boyden Thomas | Chiropractic | Mark B Thomas Dc PC | 500 E Whiteaker Ave, Cottage Grove, OR 97424-1648 |
| Samantha Joseph | Chiropractic | Mark B Thomas Dc PC | 500 E Whiteaker Ave, Cottage Grove, OR 97424-1648 |
| William S Hogg | Physical Therapy | 75 Gateway Blvd, Suite A, Cottage Grove, OR 97424-1740 | |
| Eileen M Cleveland | Nurse Practitioner | 334 E Washington Ave, Cottage Grove, OR 97424-2049 | |
| Mark F Gotcher | Optometry | 315 S Pacific Hwy, Suite 99, Cottage Grove, OR 97424-2137 | |
| Kevin Richard Holmes | Physical Therapy | Merit Rehab LLC | 1498 E Main St, Suite 109, Cottage Grove, OR 97424-2204 |
| Kathleen P Mclaughlin | Physical Therapy | Merit Rehab LLC | 1498 E Main St, Suite 109, Cottage Grove, OR 97424-2204 |
| Daniel J Kinler | Physical Therapy | Merit Rehab LLC | 1498 E Main St, Suite 109, Cottage Grove, OR 97424-2204 |
| Wendy A Hitt | Physical Therapy | Merit Rehab LLC | 1498 E Main St, Cottage Grove, OR 97424-2204 |
| John Edward Cherveny | Chiropractic | Aspen Injury Center LLC | 1260 E Main St, Cottage Grove, OR 97424-2217 |
| Find all physicians in zip 97424 | |||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COTTAGE GROVE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Martin R Roco.
| 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.