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

Mariah J Martin, PA-C

Individual provider Physician Assistant · NPI 1124578802

Mariah J Martin, PA-C is a Physician Assistant in Medford, Oregon. Qualified in 2016, 10 years ago. Practices with Asante, a 135-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3011 E Barnett Rd
Medford, OR 97504
Phone: (541) 789-4673
Fax: (541) 789-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 Sw Ramsey Ave, Grants Pass, OR 97527-5554 — (541) 789-4673

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124578802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESNovember 4, 2024
Certification dateJanuary 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Asante — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Medford