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

Mr. Cory M Martin, PA-C

Individual provider Physician Assistant · NPI 1629201249

Mr. Cory M Martin, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2009, 17 years ago. Practices with Boise Radiology Group PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in Idaho and Indiana.

Years since qualifying
17
Licensed in
ID, IN
In the registry since
2009
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

3025 W Cherry Ln Ste B
Meridian, ID 83642
Phone: (208) 367-8550
Fax: (208) 367-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1177 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 10001138A (IN)

Record details

NPI number1629201249
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2009
Last updated in NPPESAugust 5, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Boise Radiology Group Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Meridian