Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark E Martin, PA-C

Individual provider Surgical Physician Assistant · NPI 1184699464

Mark E Martin, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 1986, 40 years ago. Practices with Fort Collins Radiologic Associates PC, a 65-clinician group and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
40
Licensed in
CO, FL
In the registry since
2006
Specialties on file
2
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

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone: (970) 495-7000
Fax: (970) 484-4759
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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 PA.0006241 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2946 (FL)

Record details

NPI number1184699464
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESSeptember 26, 2020
Certification dateSeptember 26, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Fort Collins Radiologic Associates Pc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Collins