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MARIE B MARTIN PA C
NPI 1790705515
Physician Assistant in Medicine Bow, WY

Active since July 21, 2006
514 IDAHO DRIVE, MEDICINE BOW, WY 82329(307) 379-2222(307) 279-2223 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marie B Martin Pa C NPPES

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

MARIE B MARTIN PA C (NPI 1790705515) is an individual physician assistant in Medicine Bow, Wyoming, licensed in Wyoming (169) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790705515
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIE B MARTINCredential: PA C
Location Address514 IDAHO DRIVEMedicine Bow, WY 82329-0037
Mailing AddressPo Box 124Medicine Bow, WY 82329-0124 · (307) 378-2543
Phone(307) 379-2222
Fax(307) 279-2223
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790705515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WY · 169
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.
514 IDAHO DRIVE, Medicine Bow, WY 82329
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Other Names 1

Former Name (1)Mary Joanne Martin

Other Identifiers 1

Medicare ID-Type Unspecified533803WY

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 Marie Martin's NPI number?

The NPI number for Marie Martin is 1790705515. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Mary Joanne Martin.

Where is Marie Martin located?

Marie Martin practices at 514 Idaho Drive, Medicine Bow, WY 82329. The listed phone number is (307) 379-2222.

What is Marie Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marie Martin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.