| Mr James Robert Martin, MPAS | |
|
1490 E Foremaster Dr, Ste 150, St George, UT 84790-4488 | |
| (435) 628-9393 | |
| (435) 628-9382 |
| Full Name | Mr James Robert Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1490 E Foremaster Dr, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427157148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 288527-1206 (Utah) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 288527-1206 (Utah) | Secondary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Robert Martin, MPAS 1055 N 500 W, Provo, UT 84604-3305 Ph: (435) 628-9393 | Mr James Robert Martin, MPAS 1490 E Foremaster Dr, Ste 150, St George, UT 84790-4488 Ph: (435) 628-9393 |
Nicholas Paul Wittwer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-251-0400 Fax: 435-251-0401 |
Rachel Renae Rudd Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr Ste 3100, St George, UT 84790 Phone: 435-251-2740 |
Skyler Vance Buck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr Ste 1500, St George, UT 84790 Phone: 435-251-2500 Fax: 435-251-2525 |
Malcolm T Maxwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382 |
Jake Fawcett Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2351 S River Rd Ste 5, St George, UT 84790 Phone: 855-871-0841 |
Armadeus Davidson, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1584 W 1370 N, St George, UT 84770 Phone: 360-620-3233 |
Wolfgang Schulthess, PA-S Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2822 W Silver Cholla Ln, St George, UT 84770 Phone: 760-669-7462 |