Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTY JAY MORTIMER, PA-C
ActiveMARTY JAY MORTIMER, PA-C is a Physician Assistant healthcare provider located in ROCKFORD, Michigan. NPI 1689732810 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROCKFORD, MI
Registration Details
- NPI Number
- 1689732810
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.506687733611 yrs)
- Last Updated
- Feb 18, 2021
- License
-
5601006939 (MI)
Practice Information
- Address
-
8501 MEADOW CRKROCKFORD, MI, 493417524Browse MI providers · Browse ZIP 49341
- Phone
- 6162677884
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROCKFORD, MI
| Name | Credential | NPI |
|---|---|---|
| DAWN M SACKETT | PAC | 1518999440 |
| SONJA NAVARRO | PAC | 1659388767 |
| MRS. JANAY ANN WARNER | PA-C | 1811061393 |
| MRS. RACHEL ANN ZOLLMAN | PAC | 1134271794 |
| MICHELLE ANN HOYOS | PA-C | 1588998868 |
| KARA KIMBERLY NOSEDA | PA-C | 1366724668 |
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.