Martindale Csfa

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

MARTINDALE CSFA

Practice address

6414 Honeywood CT NE
Keizer, OR 97303-1187

Phone

(888) 322-6432

Fax

(888) 329-6432

NPI assigned

Apr 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas S Martindale, CSFANPI 1083752745

Title

President

Phone

(503) 873-1701

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas S Martindale, CSTCFA

  • Surgical Technologist
  • Silverton, OR
  • NPI 1083752745
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1962728790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 HONEYWOOD CT NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973031187",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 HONEYWOOD CT NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973031187",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINDALE CSFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-873-1701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSFA CERTIFICATION",
            "identifier": "96396",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Mamea
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• Janet Arlene Matthews, FNP

• Surgical Assistant in Keizer, OR
• Providers in Keizer, OR by specialty
• Surgical Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.