Martin Medical Group LLC
NPI 1467081448ActiveOrganization· Physician Assistant· Logan, UT
Physician Assistant in Logan, Utah, registered in NPPES in April 2020. The authorized official on file is Colby Martin, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467081448 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2020 |
| Last updated in NPPES | Feb 23, 2023 |
| Certified by provider | Feb 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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