Perpetual Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERPETUAL FAMILY MEDICINE

Practice address

1717 Lincoln Way Ste 108
Coeur D Alene, ID 83814-2556

Phone

(208) 480-6174

Fax

(208) 601-6174

NPI assigned

Dec 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Christopher Martindale, PA-CNPI 1508416785

Title

Owner/Provider

Phone

(208) 480-6174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Christopher Martindale, PA-C

  • Medical Physician Assistant
  • Coeur D Alene, ID
  • NPI 1508416785
  Medicare reassignment Authorized official
• Hilary L Cutler, ARNP

  • Family Nurse Practitioner
  • Arlington, WA
  • NPI 1548557218

  ID

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1194533992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY STE 108",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-480-6174",
            "fax_number": "208-601-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY STE 108",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-480-6174",
            "fax_number": "208-601-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERPETUAL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-480-6174",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Penney, RN
• Michelle Pereira
• Robert Pereyra, MD
• Performance Modalities Inc
• Periwinkle Children'S Therapy
• Monica Perrier
• Alexander Joseph Perry, RN
• Kimberlee Elizabeth Perry
• Matthew Perry, PHARM. D
• Richard Lee Perry, NURSE PRACTITIONER

• Family Medicine Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.