MR. MICHAEL L MART PAC
NPI 1598861379
Physician Assistant - Medical in Boise, ID

Q: What is Michael Mart's NPI number?

The NPI number for Michael Mart is 1598861379. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Michael Mart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mart was last updated on March 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2006

190 E BANNOCK ST, BOISE, ID 83712(208) 706-7500(208) 706-7501 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mr. Michael L Mart Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL L MART PAC (NPI 1598861379) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA77) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1598861379

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MICHAEL L MARTCredential: PAC

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 706-7500 · Fax (208) 706-7501

Phone(208) 706-7500

Fax(208) 706-7501

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateMarch 7, 2017

✔ NPI 1598861379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA77

190 E BANNOCK ST, Boise, ID 83712

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Other Identifiers 1

Medicare UPINS67714

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMI MONICA STONE CPHT

Pharmacy Technician

190 E BANNOCK ST
BOISE, ID 83712

Ada County (208) 381-4353

DR. MARIE ANN HETHERINGTON PHARMACIST

Pharmacist

190 E BANNOCK ST, EMPLOYEE OUTPATIENT PHARMACY
BOISE, ID 83712

Ada County (208) 381-4353

DR. SCOTT ALAN ROBISON PHARM D

Pharmacist

190 E BANNOCK ST
BOISE, ID 83712

Ada County (208) 381-2490

MS. JUDITH M PERRY NP

Nurse Practitioner (Family)

190 E BANNOCK ST
BOISE, ID 83712

Ada County (208) 381-2222

DR. ADAM S MAXFIELD M.D.

Radiology (Diagnostic Radiology)

190 E BANNOCK ST
BOISE, ID 83712

Ada County (208) 381-2094

CHRISTOPHER GNADINGER MD

Emergency Medicine (Emergency Medical Services)

190 E BANNOCK ST
BOISE, ID 83712

Ada County (208) 381-2222

LOUIS D VOULELIS MD

Anesthesiology

190 E BANNOCK ST
BOISE, ID 83712

Ada County (208) 336-0895

STEPHANIE BODES MD

Emergency Medicine

190 E BANNOCK ST
BOISE, ID 83712

Ada County (208) 381-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mart's NPI number?

The NPI number for Michael Mart is 1598861379. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Michael Mart located?

Michael Mart practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 706-7500.

What is Michael Mart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Mart was last updated on March 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.