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

Regina Marie Martin, PAC

Individual provider Physician Assistant · NPI 1700944501

Regina Marie Martin, PAC is a Physician Assistant in Randallstown, Maryland. Qualified in 2006, 20 years ago. Practices with University of Maryland St Joseph Medical Group LLC, a 288-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
20
Licensed in
MD
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone: (410) 521-2200
Fax: (410) 496-7541
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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 C0003356 (MD)

Record details

NPI number1700944501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESSeptember 3, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice University Of Maryland St Joseph Medical Group Llc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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