THERESA K MARTIN


Address: 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847
Phone: 2536977550

THERESA K MARTIN (NPI# 1134176340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134176340
Entity Type Individual
Full Name THERESA K MARTIN
Other Name THERESA K NEFF
Credential PA
Practice Address 11212 Sunrise Blvd E
#201
Puyallup
WA 98374-8847
Practice Telephone 2536977550
Mailing Telephone 2536977550
Enumeration Date 2006-05-31
Last Update Date 2012-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA60071585 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA60071585 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60071585 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9103689 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers THERESA MARTIN

NPI Name Taxonomy Address Enumeration
1841665130 Theresa Martin Home Health Aide 7356 Garners Ferry Rd Ste 213, Columbia, SC 29209-2146 2015-12-11
1992024202 Theresa Anne Martin Registered Nurse 1450 Dartmouth Dr, Saint Charles, MO 63303-3659 2010-05-26
1235665985 Theresa Martin Counselor 11 Robinson St, Pottstown, PA 19464-6421 2017-05-02
1497133342 Theresa Martin Family Medicine 3669 Countryside Ln, Marion, NY 14505 2015-05-12
1184978991 Theresa Linn Martin Counselor 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 2012-10-31
1386976710 Theresa Ann Martin Chiropractor 1180 Ponce Deleon Blvd, 601b, Clearwater, FL 33756-1031 2010-02-10
1841380144 Theresa Martin Physician Assistant 650 Joel Dr, Fort Campbell, KY 42223-5318 2006-10-15
1255308508 Theresa A Martin Obstetrics & Gynecology 802 Medical Dr Ste 200, Longview, TX 75605-5201 2006-03-07

Office Location

Street Address 11212 SUNRISE BLVD E
#201
City PUYALLUP
State WA
Zip Code 98374-8847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720068067 Jason Dean Brayley Family Medicine 11212 Sunrise Blvd E, Ste 201, Puyallup, WA 98374-8847 2006-01-20
1215181482 Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Clinic/Center 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 2008-11-13
1790963866 Northwest Foot and Ankle Center, Ps Podiatrist 11212 Sunrise Blvd E, Suite 203, Puyallup, WA 98374-8847 2008-01-31
1811177975 Family Foot Health Center Inc. Podiatrist 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 2007-11-06
1588788731 Medical Imaging Northwest, LLP Radiology 11212 Sunrise Blvd E, Suite 200, Puyallup, WA 98374-8847 2007-03-16
1316079254 John Hung, Md, Pllc Orthopaedic Surgery 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 2007-03-09
1043371909 Ryan Riel Orthopaedic Surgery 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 2006-12-13
1891705935 Timothy S Grace Podiatrist 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 2006-08-09
1548201163 Daniel C Ene Stroescu Internal Medicine 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 2006-06-08
1386683795 Physiotherapy Associates Inc Clinic/Center 11212 Sunrise Blvd E, Suite 202, Puyallup, WA 98374-8847 2006-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073173977 Courtney Yant Registered Nurse 300 3rd St Se, Puyallup, WA 98374 2019-06-13
1013480508 Tracy Pina Massage Therapist 16909 123rd Ave E, Puyallup, WA 98374 2019-01-07
1922524917 Edith M Wood Registered Nurse 13517 152nd St Ct E, Puyallup, WA 98374 2017-08-21
1669875993 Jillian C S Longway Registered Nurse 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 2014-10-01
1427302025 Nadeem Jaffer Internal Medicine 3800 3rd St. Se, Puyallup, WA 98374 2012-11-04
1851605356 Madigan Army Medical Ctr Clinic/Center 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 2010-07-27
1326368135 Matt Karl Jahns Massage Therapist 2402 20th St Se, Puyallup, WA 98374 2010-06-03
1982833208 Roxy Sturgeon Speech-Language Pathologist 2309 43rd Ave Se, Puyallup, WA 98374 2009-07-08
1497921191 Morgan Counseling Services Inc. Substance Abuse Rehabilitation Facility 10312 120th Street East, Suite #3, Puyallup, WA 98374 2008-05-02
1700055795 Walter Royal Patterson Jr. Registered Nurse 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 2008-02-25
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700402088 Ryan Wayne Bahr Physician Assistant 3801 5th St Se Ste 110, Puyallup, WA 98374-2106 2020-06-22
1366835068 Jeremiah C. Brack Physician Assistant 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 2015-03-05
1104251792 Teresa Kathleen Schreiber Physician Assistant 1450 5th St Se Ste 4200, Puyallup, WA 98372-4604 2013-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780153536 Patricia Dorian Physician Assistant 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 2018-11-21
1851875561 Sarah Gene Soloff Physician Assistant 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 2018-09-18
1104308394 Johnny Thanh Nguyen Physician Assistant 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 2018-09-04
1558843201 Stefanie Eller Physician Assistant 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 2018-08-29
1861987992 Lillian Baldwin Bourret Physician Assistant 6317 Linden Ave N, Seattle, WA 98103-5658 2018-07-01
1417446758 Janelle Elizabeth Becker Physician Assistant 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 2018-05-02
1982058418 Ray Johnson Physician Assistant 4446 88th Ave Se, Mercer Island, WA 98040 2016-04-21
1073990651 Laura Skanse Physician Assistant 12303 Ne 130th Ln #500, Kirkland, WA 98034 2015-05-02
1104231893 Amber Elaine Deck Physician Assistant 20307 67th Ave E, Spanaway, WA 98387-5600 2014-06-22
1043535024 Pamela Baird Physician Assistant 2016 16th Ave East, Seattle, WA 98112-5260 2010-04-01
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Competitor

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City PUYALLUP
Zip Code 98374

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Dataset Information

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.

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