MARK MARTIN CCP NPI 1578031860

NPI Information

  • NPI: 1578031860
  • Provider Name: MARK MARTIN, CCP
  • Classification: Perfusionist - 242T00000X
  • Entity Type: Individual
  • Address: 6500 W NEWBERRY RD
    GAINESVILLE, FL
    ZIP 32605
  • Phone: (352) 333-4180

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NPI Details

Mark Martin, CCP is a perfusionist in Gainesville, FL. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. Mark Martin, CCP NPI is 1578031860. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6500 W NEWBERRY RD
GAINESVILLE, FL
ZIP 32605-309
Phone: (352) 333-4180

The enumeration date for this NPI number is 11/5/2018 and was last updated on 11/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1242T00000XPerfusionistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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