Provider Demographics
NPI:1437973716
Name:MARTIN, CASSIDY LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:LYNN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11116 MEDICAL CAMPUS RD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:835 5TH AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4220
Practice Address - Country:US
Practice Address - Phone:717-263-0629
Practice Address - Fax:717-263-7105
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2025-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA066590363AM0700X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical