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

Charles K Martin, PA

Individual provider Physician Assistant · NPI 1114101813

Charles K Martin, PA is a Physician Assistant in Wausau, Wisconsin. Qualified in 2008, 18 years ago. Practices with Bone and Joint Clinic SC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Wisconsin.

Years since qualifying
18
Licensed in
IN, WI
In the registry since
2007
Specialties on file
2
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

225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone: (715) 359-6442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5050 N Clinton St, Fort Wayne, IN 46825-5822 — (260) 484-8551

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3241-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 10000978A (IN)

Record details

NPI number1114101813
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 18, 2007
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021
Mailing address225000 Hummingbird Rd Ste 100, Wausau, WI 54401-2950

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bone And Joint Clinic S.C. — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wausau