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GLENN WILLIAM MARTIN PA-C.
NPI 1972692184
Physician Assistant in Farmington, NM

Active since October 12, 2006
2700 FARMINGTON AVE, FARMINGTON, NM 87401(505) 325-1100(505) 325-5044 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Glenn William Martin Pa-c. NPPES

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

GLENN WILLIAM MARTIN PA-C. (NPI 1972692184) is an individual physician assistant in Farmington, New Mexico, licensed in New Mexico (77 PA 005 NM) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1972692184
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGLENN WILLIAM MARTINCredential: PA-C.
Location Address2700 FARMINGTON AVEFarmington, NM 87401-4559
Mailing Address4971 County Road 250Durango, CO 81301-8620 · (970) 247-2982 · Fax (970) 247-2982
Phone(505) 325-1100
Fax(505) 325-5044
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972692184 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 NM · 77 PA 005 NM
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.
2700 FARMINGTON AVE, Farmington, NM 87401
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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.

SAN JUAN REGIONAL MEDICAL CENTER INC
Urology
2700 FARMINGTON AVE, BUILDING E, SUITE 1
FARMINGTON, NM 87401
San Juan County (505) 609-6300
MR. ROGER G. RUNG P.T.
Physical Therapist
2700 FARMINGTON AVE
FARMINGTON, NM 87401
San Juan County (505) 326-0761
MS. CAROLYN PARR HAWK M.A.
Counselor (Mental Health)
2700 FARMINGTON AVE, BUILDING F, SUITE 1
FARMINGTON, NM 87401
San Juan County (505) 326-7878
FREDERICK MOSLEY M.D.
Exclusive Provider Organization
2700 FARMINGTON AVE, BLDG. F
FARMINGTON, NM 87401
San Juan County (505) 325-1100
CLARISSA BURGESS
Dentist
2700 FARMINGTON AVE, STE C
FARMINGTON, NM 87401
San Juan County (505) 325-9133
LLOYD BRENT JACKSON DMD PALLC
Dentist (General Practice)
2700 FARMINGTON AVE, SUITE C-1
FARMINTON, NM 87401
San Juan County (505) 327-0044
MRS. KATHY RICHELLE BALES M.A.
Counselor (Professional)
2700 FARMINGTON AVE, BLDG., F STE. 1
FARMINGTON, NM 87401
San Juan County (505) 326-7878
SELECT PHYSICAL THERAPY HOLDINGS INC
Clinic/Center (Rehabilitation)
2700 FARMINGTON AVE, STE C
FARMINGTON, NM 87401
San Juan County (505) 326-0761

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 Glenn Martin's NPI number?

The NPI number for Glenn Martin is 1972692184. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Glenn Martin located?

Glenn Martin practices at 2700 Farmington Ave, Farmington, NM 87401. The listed phone number is (505) 325-1100.

What is Glenn 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 Glenn 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.