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DANIEL LEE MARTIN P.A.
NPI 1902840002
Physician Assistant - Medical in Tooele, UT

Active since June 16, 2006PECOS Enrolled
2055 N MAIN ST, TOOELE, UT 84074(435) 843-3670(435) 833-9844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Lee Martin P.a. NPPES

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

DANIEL LEE MARTIN P.A. (NPI 1902840002) is an individual medical provider in Tooele, Utah, licensed in Utah (347246-1206) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902840002
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDANIEL LEE MARTINCredential: P.A.
Location Address2055 N MAIN STTooele, UT 84074-9819
Mailing Address2055 N Main StTooele, UT 84074-9819 · (435) 843-3640 · Fax (435) 833-9844
Phone(435) 843-3670
Fax(435) 833-9844
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902840002 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 UT · 347246-1206
2055 N MAIN ST, Tooele, UT 84074
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ69827UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Lee Martin P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

TOOELE HOSPITAL CORPORATION
Clinic/Center (Physical Therapy)
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
TOOELE HOSPITAL CORPORATION
General Acute Care Hospital
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
ADAM SAPERSTON MD
Emergency Medicine (Emergency Medical Services)
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
RICHARD THURMAN MD
Emergency Medicine
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
THEODORE C SMITH CRNA
Nurse Anesthetist, Certified Registered
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (801) 698-4825
JOHN MASARYK MD
Emergency Medicine
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
ERICK STANTFORD ROWAN DPT
Physical Therapist
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3737
JAMES WEBBER MD
Radiology (Diagnostic Radiology)
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3646

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 Daniel Martin's NPI number?

The NPI number for Daniel Martin is 1902840002. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Daniel Martin located?

Daniel Martin practices at 2055 N Main St, Tooele, UT 84074. The listed phone number is (435) 843-3670.

What is Daniel Martin's specialty?

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

Is Daniel Martin enrolled in Medicare?

Yes. Daniel Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel 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.