MARTIN ROCO (NPI# 1255683140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255683140 |
| Entity Type | Individual |
| Full Name | MARTIN ROCO |
| Credential | FNP |
| Practice Address |
1445 Gateway Blvd Cottage Grove OR 97424-1224 |
| Mailing Address |
1292 High St Ste 224 Eugene OR 97401-3238 |
| Practice Telephone | 5416407625 |
| Mailing Telephone | 5415002500 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201500803NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
005192 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1445 GATEWAY BLVD |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714701 | Nancy J Worley | Physical Medicine & Rehabilitation | 1445 Gateway Blvd, Suite D, Cottage Grove, OR 97424 | 2005-07-15 |
| 1891070207 | Devon E. Schneider | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2011-10-17 |
| 1578880548 | Larry Arthur Jackson | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2010-04-29 |
| 1609068998 | Covered Bridge Physical Therapy LLC | Clinic/Center | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2007-08-10 |
| 1720152465 | Ben Douglas Johnson | Physician Assistant | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-11-17 |
| 1932281656 | William Vogel | Physician Assistant | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-10-20 |
| 1750492906 | Icco LLC | Clinic/Center | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-08-31 |
| 1407872815 | Diana L. V. Knee | Social Worker | 1445 Gateway Blvd, Suite A, Cottage Grove, OR 97424-1224 | 2006-07-15 |
| 1326085846 | Mary Ruth | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-06-01 |
| 1225001720 | Judith Dolene Stensland | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1124644224 | Sarah Rosetta Cassell | Nurse Practitioner | 7111 Timber Trail Ln S, Cottage Grove, MN 55016-4772 | 2020-06-24 |
| 1972819324 | Laura Marie Doege | Nurse Practitioner | 6894 74th St S, Cottage Grove, MN 55016-4469 | 2010-08-24 |
| 1700049152 | Eileen Melody Cleveland | Nurse Practitioner | 334 E Washington Ave, Cottage Grove, OR 97424-2049 | 2008-07-07 |
| 1942781489 | Kimberly Rae Stober | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2018-08-23 |
| 1760961288 | Mckinley Marie Hutchison | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2018-08-07 |
| 1083064737 | Maria Jane Holder | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2016-06-14 |
| 1487044376 | Rebecca Mcbride | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2015-01-29 |
| 1891070207 | Devon E. Schneider | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2011-10-17 |
| 1447414982 | Michele Ferchau Pyeatt | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2008-07-14 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on MARTIN ROCO.
| 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.