Individual provider · Type 1 NPI

Ricky Lee Martin Jr., PA-C

Physician Assistant · Columbus, IN

NPI number 1174880447 Active

Practice location

2326 18th St Ste 210
Columbus, IN 47201-5362

Fax (812) 373-5497

Mailing address

PO Box 775383
Chicago, IL 60677-5383

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X10002016A (IN)
Physician Assistant Primary 363A00000X10002016A (IN)

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, orde…

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About NPI 1174880447

Ricky Lee Martin Jr., PA-C's National Provider Identifier is 1174880447, issued on Apr 11, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbus, IN. The record was last updated on Sep 6, 2024.