James Martin, PA-C
Individual provider Active NPI Physician Assistant · Embudo, NM
NPI 1629080643 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1629080643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2011-0005 (NM)
- Practice address
- Hwy 68 #2243 Rinconada
Embudo, NM 87531 - Phone
- (505) 579-4255
- Fax
- (505) 579-4669
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2011-0005 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care Network of South Texas PA | Past | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| Cancer Care Network of South Texas PA | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2011-0005 | NM | Yes |
Addresses
Primary practice location
Hwy 68 #2243 Rinconada
Embudo, NM 87531
Mailing address
PO Box 158
538 N. Paseo de Onate
Espanola, NM 87532-0158
Phone (505) 753-7218
Other providers in Embudo, NM
- Sumeyra Baskoy
- El Centro Family Health
- Embudo Dental Center LLC
- Kayci M Harris
- Kaycee Hinckley
- Northern NM Vocational Training
- Richard D Padberg
- Marcey Ellen Shapiro
All providers in Embudo, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.