| James P Martyn, CRNA | |
|
900 S Auburn St, Kennewick, WA 99336-5621 | |
| (509) 586-5840 | |
| Not Available |
| Full Name | James P Martyn |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 900 S Auburn St, Kennewick, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457390627 | NPI | - | NPPES |
| 100203 | Medicaid | OR | |
| 9612573 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN00084755 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30004473 (Washington) | Primary |
| Entity Name | Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013940253 PECOS PAC ID: 4880699172 Enrollment ID: O20060920000047 |
| Mailing Address | Practice Location Address |
|---|---|
| James P Martyn, CRNA Po Box 34940, Seattle, WA 98124-1940 Ph: (503) 372-2740 | James P Martyn, CRNA 900 S Auburn St, Kennewick, WA 99336-5621 Ph: (509) 586-5840 |
Kristopher Michael Jennings, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 | |
Pacifique Ishimwe, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 | |
Rona Deseree Bouzarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7501 W Deschutes Pl Ste B, Kennewick, WA 99336 Phone: 785-764-9709 | |
Patricia L Gump, MD Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 317 N Delaware St, Kennewick, WA 99336 Phone: 509-736-5550 Fax: 509-737-8281 | |
William Lee Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6695 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-736-0826 Fax: 509-735-6868 | |
Loren K Copeland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Joseph Raphael Stover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 |