Colby J Martin (NPI# 1982033098, PAC ID# 8820228927) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982033098 |
| PAC ID by PECOS | 8820228927 |
| Professional Enrollment ID | I20140312001048 |
| Full Name | Colby J Martin |
| Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
| Address |
517 W 100 Suite 210 Providence UT 84332-9826 |
| Phone Number | 4357556061 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9032020037 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460015 | LOGAN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 517 W 100, Suite 210, Providence, UT 84332-9826 | 4357556061 | BEAR LAKE COMMUNITY HEALTH CENTER |
| Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydnie Hobbs | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Ryan M Carr | Physician Assistant | Bear Lake Community Health Center | 517 W 100, Suite 210, Providence, UT 84332-9826 |
| Kristin K Buys | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Glenn L. Robertson | Family Medicine | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| James D Sutton | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Mina L Wayman | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| Phillip Edward Archibald | Clinical Social Worker | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Sarah Renee Eldredge | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Jenna B Pitman | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Street Address |
517 W 100 SUITE 210 |
| City | PROVIDENCE |
| State | UT |
| Zip | 84332-9826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan M Carr | Physician Assistant | Bear Lake Community Health Center | 517 W 100, Suite 210, Providence, UT 84332-9826 |
| Ben P Boyer | Nurse Practitioner | Bear Lake Community Health Center | 517 W 100, Suite 210, Providence, UT 84332-9826 |
| Ian Michael Troesoyer | Nurse Practitioner | Bear Lake Community Health Center | 517 W 100, Suite 210, Providence, UT 84332-9826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Spencer W Wade | Chiropractic | 565 W 465 N, Suite 140, Providence, UT 84332-4802 | |
| Vera Carlson | Family Medicine | 565 W 465, Suite 130, Providence, UT 84332-4802 | |
| Corey B Johnson | Emergency Medicine | 565 W 465 N, 130 Cache Vein Care, Providence, UT 84332-4802 | |
| Thomas Owen Fullmer X | Chiropractic | 1652s Hwy 165, Providence, UT 84332-6701 | |
| Nichole L Jardine | Clinical Social Worker | 545 W 465, Suite 130, Providence, UT 84332-8005 | |
| Thomas E Atkin | Clinical Psychologist | 545 W 465 N, Providence, UT 84332-8005 | |
| Jeremy William Broadhurst | Family Medicine | Ihc Health Services Inc | 190 S Hwy 165, Providence, UT 84332-9512 |
| Robert G Patterson | Family Medicine | Ihc Health Services Inc | 190 S Hwy 165, Providence, UT 84332-9512 |
| Kevin R Duke | Family Medicine | Mountainstar Medical Group-cache Valley LLC | 382 W 280, Providence, UT 84332-9753 |
| Richard Thomas Stevens | Family Medicine | Mountainstar Medical Group-cache Valley LLC | 382 W 280, Providence, UT 84332-9753 |
| Find all physicians in zip 84332 | |||
| City | PROVIDENCE |
| Zip Code | 84332 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PROVIDENCE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Colby J Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.