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

Mark Christopher Martindale, PA-C

Individual provider Medical Physician Assistant · NPI 1508416785

Mark Christopher Martindale, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
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

1717 Lincoln Way Ste 108
Coeur D Alene, ID 83814-2556
Phone: (208) 480-6174
Fax: (208) 601-6174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1937 (OR)

Record details

NPI number1508416785
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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