Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK CHRISTOPHER MARTINDALE, PA-C
DeactivatedMARK CHRISTOPHER MARTINDALE, PA-C is a Medical Physician Assistant healthcare provider located in COEUR D ALENE, Idaho. NPI 1508416785 is deactivated in the NPPES registry. Verify at CMS.
Medical Physician Assistant · COEUR D ALENE, ID
This NPI has been deactivated.
The record was deactivated on February 13, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508416785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2019 (5.4054794520548 yrs)
- Last Updated
- Mar 4, 2025
- Deactivated
- Feb 13, 2025
- License
-
PA-1937 (OR)
Practice Information
- Address
-
1717 LINCOLN WAY STE 108COEUR D ALENE, ID, 838142556Browse ID providers · Browse ZIP 83814
- Phone
- 2084806174
- Fax
- 2086016174
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| AMANDA L FIOLA | PA-C | 1861484701 |
| STUART T SHARP | PA | 1841248929 |
| HEATHER SARKIS | PA-C | 1023118122 |
| MR. DOUGLAS DUNCAN | PA-C | 1366509507 |
| MR. JEREMY ALLEN | PA-C | 1124205661 |
| MR. RICHARD LEE WIESEMANN II | — | 1629220488 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.