Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Andrew Martin, PA

Individual provider Surgical Physician Assistant · NPI 1821599382

Blake Andrew Martin, PA is a Surgical Physician Assistant in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3801 S National Ave Ste 700
Springfield, MO 65807-5210
Phone: (417) 885-3888
Fax: (471) 520-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2018004423 (MO)

Record details

NPI number1821599382
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 21, 2018
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

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