P Praxis·MD
● Active Type 1 · Individual

Mark Christopher Martindale, PA-C

Physician Assistant·Coeur D Alene, ID· NPI 1508416785 · Enumerated 2019 · 6 years on NPI
Martindale is 1 of 23 physician assistant providers in Coeur D Alene and 1 of 387 in Idaho.
NPI age
6 years
Enumerated 2019-09-18
Primary specialty
Physician Assistant
Licensed in
OR
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-09Enumerated in NPPES
2019 2026

Where they practice

Practice location
1717 Lincoln Way Ste 108
Coeur D Alene, ID 838142556
📞 2084806174fax 2086016174
Mailing address
1717 Lincoln Way Ste 108
Coeur D Alene, ID 838142556
📞 2084806174fax 2086016174

Specialties

  • Physician Assistant Primary
    Definition to come...
    OR license #PA-1937 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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