National Provider Identifier Database

TRACY B MARTIN, PA – NPI #1952460057
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

TRACY B MARTIN, PA
2610 TRINITY DR STE 14
LOS ALAMOS, NM87544-2362
Phone: 505-500-8213
Fax: 505-451-0580
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Adult Medicine 207QA0505X

* Indicates primary specialty

NPI Profile & details for TRACY B MARTIN

NPI Number 1952460057
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/06/2006
Last updated 10/11/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 99-PA28
  • NM License #: 99PA28
  • NM Medicaid: 000N1651
  • Other: 10029201 LOVELACE
  • Other: QMP000003399104 MOLINA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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