Martha C Pao, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10004551 Issued in WA

Practice address

1919 112TH St SW
Everett, WA 98204-3784

Phone

(425) 513-1600

NPI assigned

Jun 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.56 of 100Reported as group

Quality

71.73

Improvement activities

40

Cost

80.37

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CS Pacs 3 Northwest, LLC

  • Hospitalist Physician
  • Puyallup, WA
  • NPI 1811752066
  Medicare reassignment
• United Wound Healing PS

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Puyallup, WA
  • NPI 1669845327
  Medicare reassignment
• Wa Pacs 2 PC

  • Hospitalist Physician
  • Tacoma, WA
  • NPI 1144706532
  Medicare reassignment
• Washington Pac Services PC

  • Hospitalist Physician
  • Spokane, WA
  • NPI 1336678168
  Medicare reassignment
• United Wound Healing Accountable Care Consultants PLLC

  • Surgery Physician
  • Puyallup, WA
  • NPI 1881337632

  Physician Assistant

  NPD (past)
• Johns Hopkins Emergency Medical

  • Emergency Care Clinic/Center
  • Columbia, MD
  • NPI 1922098466
  NPD (past)
• National Emergency Services District of Columbia Inc

  • Emergency Medicine Physician
  • Washington, DC
  • NPI 1588655963
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1336184043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 HIATUS RD",
            "address_2": "REGIONAL ADMIN OFFICE",
            "city": "TAMRAC",
            "state": "FL",
            "postal_code": "333216424",
            "telephone_number": "954-377-3074",
            "fax_number": "865-560-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 112TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043784",
            "telephone_number": "425-513-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 29th St NE Ste I",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983727154",
            "country_code": "US",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAO",
        "first_name": "MARTHA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0175422",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "2414PA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8364077",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pandagc Corp.
• Sandeep Pandit, M.D.
• Ancuta Pandrea, MD
• Janette Latonya Panell, MA ED
• Daven Marcel Pantohan, PA-C
• Allison L Paparella, M.ED, LMCH, MHP
• Suzanne T Papcun, PA-C
• Mark D. Papenhausen, MD
• Thomas William Papsco, LMFTA, DC.
• Bruce Paquette, LICSW

• Physician Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.