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

Martin H Memmott, PA

Individual provider Physician Assistant · NPI 1972780534

Martin H Memmott, PA is a Physician Assistant in Orem, Utah. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2007, 19 years ago. Practices with Advanced Spine and Pain PLLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
UT
In the registry since
2008
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

960 W 800 N
Orem, UT 84057-3626
Phone: (801) 226-6184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 W State Road 164, Salem, UT 84653-5732 — (801) 373-7350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6853842-1206 (UT)

Record details

NPI number1972780534
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 25, 2008
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2007 (19 years in practice)
Group practice Advanced Spine And Pain Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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