MRS. TERESA ANN MARTISAK (NPI# 1225150741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225150741 |
| Entity Type | Individual |
| Full Name | MRS. TERESA ANN MARTISAK |
| Credential | RN CDE |
| Practice Address |
1698 E Mcandrews Rd Suite 170 Medford OR 97504-5589 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417326957 |
| Practice Fax Number | 5417327901 |
| Mailing Telephone | 5417326957 |
| Mailing Fax Number | 5417327901 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
086006602 | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RN LICENSE | 086006602RN | 01 |
| Street Address |
1698 E MCANDREWS RD SUITE 170 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407844525 | Deidre Goldberg | Nurse Practitioner | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2005-10-12 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| 1992254080 | Yadira Amaral | Community Health Worker | 1698 E Mcandrews Rd, Ste 170, Medford, OR 97504-5589 | 2016-09-29 |
| 1841674173 | Judy Wong | Pharmacist | 1698 E Mcandrews Rd, Suite 400, Medford, OR 97504-5589 | 2015-07-16 |
| 1669870432 | Ashley Auspelmyer | Physician Assistant | 1698 E Mcandrews Rd, Providence Plaza, Suite 280, Medford, OR 97504-5589 | 2014-12-10 |
| 1801292107 | Sara G Hoppe | Physician Assistant | 1698 E Mcandrews Rd, Ste 160, Medford, OR 97504-5589 | 2014-11-13 |
| 1669609954 | Susan Bernier Martin | Registered Nurse | 1698 E Mcandrews Rd, Suite 170, Medford, OR 97504-5589 | 2009-06-15 |
| 1457517849 | Vivian Nkem Chidi | Internal Medicine | 1698 E Mcandrews Rd, Ste 170, Medford, OR 97504-5589 | 2008-08-05 |
| 1659530442 | Kadi-ann Bryan | Urology | 1698 E Mcandrews Rd, Suite 280, Medford, OR 97504-5589 | 2008-06-05 |
| 1679761944 | Skin Cncr & Ent Center | Specialist | 1698 E Mcandrews Rd, Suite 220, Medford, OR 97504-5589 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669609954 | Susan Bernier Martin | Registered Nurse | 1698 E Mcandrews Rd, Suite 170, Medford, OR 97504-5589 | 2009-06-15 |
| 1619188265 | Anne Elizabeth Lombard | Registered Nurse | 170 Governors Ave, Medford, MA 02155-1643 | 2007-05-25 |
| 1154533842 | Diane M Doucette | Registered Nurse | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710475108 | Teri Lee Smits | Registered Nurse | 9766 Sw Siletz Dr, Tualatin, OR 97062-9559 | 2018-05-01 |
| 1386132033 | Shelly-anne Marie Baker | Registered Nurse | 4065 N Alaska St, Portland, OR 97203-2001 | 2018-04-27 |
| 1619481744 | Nan Isabel Fitz Gerald | Registered Nurse | 1040 Nw 22nd Ave Ste 540, Portland, OR 97210-3097 | 2017-11-28 |
| 1225558026 | Lolis Rocha | Registered Nurse | 3181 Sw Sam Jackson Park Rd # Ppv05, Portland, OR 97239-3011 | 2017-06-22 |
| 1811536238 | Rita Marie Shearer | Registered Nurse | 361 Ne Franklin Ave Bldg C, Bend, OR 97701-4917 | 2020-01-02 |
| 1811454432 | Matthew James Luttrell | Registered Nurse | 501 N Graham St, Portland, OR 97227-1654 | 2019-03-01 |
| 1396233110 | Doreen Lynn Dobyns | Registered Nurse | 506 4th St, La Grande, OR 97850-1906 | 2018-04-26 |
| 1053808287 | Patricia (trish) Ann Kirchhoff | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-04-13 |
| 1427597541 | Tara Nicole Moomey | Registered Nurse | 849 Pacific Ave, Hood River, OR 97031-1956 | 2017-02-22 |
| 1609311646 | Angela M Barnes | Registered Nurse | 2435 Ne Cumulus Ave, Suite A, Mcminnville, OR 97128-8805 | 2016-12-29 |
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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.