MR. CORY M MARTIN


Address: 3025 W Cherry Lane, Ste B, Meridian, ID 83642
Phone: 2083678550

MR. CORY M MARTIN (NPI# 1629201249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629201249
Entity Type Individual
Full Name MR. CORY M MARTIN
Credential PA-C
Practice Address 3025 W Cherry Lane
Ste B
Meridian
ID 83642
Mailing Address 3340 E Goldstone Way
Meridian
ID 83642-1026
Practice Telephone 2083678550
Practice Fax Number 2083678555
Mailing Telephone 2083678550
Mailing Fax Number 2083678555
Enumeration Date 2009-08-30
Last Update Date 2014-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA-1177 ID Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 10001138A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers CORY MARTIN

NPI Name Taxonomy Address Enumeration
1326490038 Cory Martin Reflexologist 309 W Carman Rd, El Dorado Springs, MO 64744-2218 2016-07-06
1164881306 Cory Eugene Martin Counselor 1852 W. Grand Blvd., Detroit, MI 48208 2016-02-16
1427385244 Cory Jon Martin Social Worker 211 E 7th Ave, Eugene, OR 97401-2773 2009-11-16

Office Location

Street Address 3025 W CHERRY LANE
STE B
City MERIDIAN
State ID
Zip Code 83642

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124092101 Albert Donald Bickford Physician Assistant 3025 W Cherry Lane, Ste B, Meridian, ID 83642-1026 2006-02-15
1639680051 Chad Dennis Talford Physician Assistant 3025 W Cherry Lane, Meridian, ID 83642 2017-10-12
1326590498 Katrina Merrell Physician Assistant 3025 W Cherry Lane, Ste B, Meridian, ID 83642 2016-10-25
1710438874 Carin Bohan Physician Assistant 3025 W Cherry Lane, Ste B, Meridian, ID 83642 2016-10-24
1366993883 Nathan James Richard Physician Assistant 3025 W Cherry Lane, Ste B, Meridian, ID 83642 2016-10-19
1629446661 Lori Katherine Ebinger Physician Assistant 3025 W Cherry Lane, Ste B, Meridian, ID 83642 2015-09-08
1033504147 Aaron Dunham Psychiatry & Neurology 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 2015-04-06
1508142613 Kristina Huffaker Physician Assistant 3025 W Cherry Lane, Ste B, Meridian, ID 83642 2011-11-02
1659504314 Mark B Cheney Family Medicine 3025 W Cherry Lane, Meridian, ID 83642 2009-08-28
1700076312 Shirley Edna Vanzandt Nurse Practitioner 3025 W Cherry Lane, Ste B, Meridian, ID 83642-8531 2007-07-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174164305 Tessie Mari Mcinnally Physician Assistant 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 2019-09-29
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1790224905 Yustina Nader Rafla Physician Assistant 520 S Eagle Rd Ste 1243, Meridian, ID 83642-6355 2017-02-21
1295163160 Kalyn Baisley Physician Assistant 360 E Montvue Dr # 100, Meridian, ID 83642-6318 2013-10-31
1063601177 Richard A Trump Physician Assistant 3015 E Magic View Dr Ste 120, Meridian, ID 83642-3750 2007-10-15
1740476969 Laura B Allen Physician Assistant 1618 Millenium Way Ste 100, Meridian, ID 83642-6457 2007-09-20
1568499713 Brian D Friedt Physician Assistant 1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457 2006-06-26
1114966959 Stephen J Frelly Physician Assistant 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 2006-06-06
1114964616 Amber M Vickers Physician Assistant 1623 S. Wells Avenue, Meridian, ID 83642 2006-06-01
1336196757 Kathleen Rose Nielsen Physician Assistant 3041 E Copper Point Dr, Meridian, ID 83642-1740 2006-05-30
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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