MARK E MARTIN (NPI# 1184699464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184699464 |
| Entity Type | Individual |
| Full Name | MARK E MARTIN |
| Credential | PA-C |
| Practice Address |
1024 S Lemay Ave Fort Collins CO 80524-3929 |
| Mailing Address |
2008 Caribou Dr Fort Collins CO 80525-4325 |
| Practice Telephone | 9704957000 |
| Practice Fax Number | 9704844759 |
| Mailing Telephone | 9704844757 |
| Mailing Fax Number | 9704844759 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.0006241 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2946 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763004 | Mark Martin | Technician, Other | 3041 S Charlton Park Rd, Hastings, MI 49058-8806 | 2016-11-28 |
| 1295707859 | Mark A Martin | Family Medicine | 2112 Pineshore Ct, Evansville, IN 47711-4473 | 2006-02-07 |
| 1578031860 | Mark Martin | Perfusionist | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2018-11-05 |
| 1164916805 | Mark Martin | Counselor | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-06-17 |
| 1073023024 | Mark Martin | Social Worker | 1835 Gilmore Ave, Lakeland, FL 33805 | 2017-10-04 |
| 1952728347 | Mark Martin | Case Manager/Care Coordinator | 3612 Cuming St, Omaha, NE 68131-1952 | 2014-03-24 |
| 1447576103 | Mark J Martin | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2010-04-20 |
| 1346490695 | Mark Martin | Counselor | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2008-09-23 |
| 1982726436 | Mark Blair Martin | Dentist | 910 E Grand Ave, Escondido, CA 92025-3430 | 2007-04-04 |
| 1346300043 | Mark Kevin Martin | Recreation Therapist | 1975 Long Beach Blvd, Long Beach, CA 90806-5501 | 2006-12-11 |
| Street Address |
1024 S LEMAY AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659181 | Dennis P. Brant | Emergency Medicine | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2005-06-17 |
| 1164021911 | Poudre Valley Medical Group, LLC | Social Worker | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-10-22 |
| 1710593611 | Poudre Valley Medical Group, LLC | Registered Nurse | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-09-17 |
| 1902419120 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-08-27 |
| 1467065680 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-08-27 |
| 1356953939 | Denise Patten | Pharmacist | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-08-17 |
| 1609484302 | Poudre Valley Medical Group, LLC | Internal Medicine | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-07-20 |
| 1396369492 | Whitney Raye Pollard | Counselor | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-06-04 |
| 1922620897 | Poudre Valley Medical Group, LLC | General Practice | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-05-13 |
| 1134740913 | Haley R Rider | Speech-Language Pathologist | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883525 | Andrea J Bieganski | Physician Assistant | 1120 E Elizabeth St # F-101, Fort Collins, CO 80524-4044 | 2005-09-29 |
| 1285041723 | Todd Bryce | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2014-07-16 |
| 1467869115 | Amy Lynn Lagreca | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2014-07-15 |
| 1497000590 | Danielle Marie Talbert | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-07-16 |
| 1902162688 | Kathryn Grace Lundy | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-04-06 |
| 1932402666 | Travis A Babcock | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2010-12-20 |
| 1104065218 | Katherine Berdell | Physician Assistant | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528 | 2009-02-12 |
| 1265636872 | Matthew R. Crawford | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2007-06-14 |
| 1417054099 | Nancy A. Mcrae | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-09-17 |
| 1033153275 | Servando Gutierrez | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-06-16 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on MARK E MARTIN.
| 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.