DR. MARTIN NICHOLAS BOMALASKI (NPI# 1508109349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508109349 |
| Entity Type | Individual |
| Full Name | DR. MARTIN NICHOLAS BOMALASKI |
| Credential | M.D. |
| Practice Address |
200 Ne Mother Joseph Pl Ste 100 Vancouver WA 98664-3292 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 3605143142 |
| Practice Fax Number | 3605146809 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | MD189020 | OR | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | MD60739177 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PIN | 8967115 | 01 |
| WA | 1508109349 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 9th Ave, Seattle, WA 981042420 | 2065436420 | |
| 1255 Hilyard St, Eugene, OR 97401 | 4582095093 | 4582095028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982683504 | Martin David Bomalaski | Urology | 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 | 2006-01-12 |
| Street Address |
200 NE MOTHER JOSEPH PL STE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912081373 | Robert S. Djergaian | Physical Medicine & Rehabilitation | 200 Ne Mother Joseph Pl Ste 100, Vancouver, WA 98664-3292 | 2006-10-24 |
| 1558761460 | Michael K Hirata | Physical Therapist | 200 Ne Mother Joseph Pl Ste 100, Vancouver, WA 98664-3292 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376729566 | Aubrie Nycole Strickland | Physical Medicine & Rehabilitation | 11815 Ne Highway 99 Ste A, Vancouver, WA 98686-4008 | 2008-01-17 |
| 1912081373 | Robert S. Djergaian | Physical Medicine & Rehabilitation | 200 Ne Mother Joseph Pl Ste 100, Vancouver, WA 98664-3292 | 2006-10-24 |
| 1265074322 | Michelle Marmol | Physical Medicine & Rehabilitation | 300 Grand Blvd, Vancouver, WA 98661-4930 | 2019-10-10 |
| 1346652831 | Christopher Goodrich | Physical Medicine & Rehabilitation | 101 E 8th St, Ste 110, Vancouver, WA 98660-3294 | 2014-06-02 |
| 1154760460 | Mona Mirchandani | Physical Medicine & Rehabilitation | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2013-06-19 |
| 1891072864 | Chelsea Elizabeth Ann Frazier | Physical Medicine & Rehabilitation | 11815 Ne Highway 99, Suite A, Vancouver, WA 98686-4008 | 2011-11-04 |
| 1043502560 | Deven A Karvelas | Physical Medicine & Rehabilitation | 200 Ne Mother Joseph Pl, Ste 210, Vancouver, WA 98664-3299 | 2011-05-03 |
| 1487960118 | Jan Mcwilliams | Physical Medicine & Rehabilitation | 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684-5808 | 2010-08-18 |
| 1477876456 | Kristie Wellman | Physical Medicine & Rehabilitation | 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684-5808 | 2010-03-05 |
| 1861725426 | Tracy Lee Thomas | Physical Medicine & Rehabilitation | 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684-5808 | 2009-09-15 |
| Find all providers in VANCOUVER | ||||
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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.