IAN MICHAEL MARTIN (NPI# 1174866149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174866149 |
| Entity Type | Individual |
| Full Name | IAN MICHAEL MARTIN |
| Credential | D.O. |
| Practice Address |
12901 Bruce B Downs Blvd # 41 Tampa FL 33612-4742 |
| Practice Telephone | 8138447412 |
| Practice Fax Number | 8139748359 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
DO.1717 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542376 | Ian Martin | Pharmacist | 1012 W Sylvania Ave, Toledo, OH 43612-1702 | 2019-08-01 |
| 1639377351 | Ian Porter Martin | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2007-07-03 |
| Street Address |
12901 BRUCE B DOWNS BLVD # 41 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407170277 | Sungjune Kim | Radiology | 12901 Bruce B Downs Blvd # 41, Moffitt Cancer Center, Tampa, FL 33612-4742 | 2010-03-23 |
| 1225471022 | Kyle Jay Stephens | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-10 |
| 1124361753 | Jesse Vincent Dubey | Emergency Medicine | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-02 |
| 1831432418 | Lindsey Marie Joseph | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-01 |
| 1417290206 | Marcela Fernandes Chiste | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-01 |
| 1518200609 | Moris Laca | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-27 |
| 1558603761 | Alexander John Boyle | Urology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-26 |
| 1942542014 | Onjin Kim | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-26 |
| 1386904522 | Darren Kendrick Adderly II | Internal Medicine | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2012-05-22 |
| 1982961249 | Afshan Idrees | Pathology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1760800460 | Phoutthasone Thirakul | Pathology | 11025 N 46th St, Tampa, FL 33617-2000 | 2014-04-01 |
| 1497047575 | Liying Fu | Pathology | 5751 Hoover Boulevard, Tampa, FL 33634-5340 | 2011-05-09 |
| 1073812608 | Maryam Tahmasbi | Pathology | 13220 Usf Laurel Dr, 5th Floor, Tampa, FL 33612-4742 | 2011-03-22 |
| 1548564743 | Jun Zhou | Pathology | 14225 East Fowler Avenue, Suite B, Tampa, FL 33617-2026 | 2011-01-03 |
| 1932433570 | Daryoush Saeed-vafa | Pathology | 402 S Armenia Ave Unit 131, Tampa, FL 33609-3300 | 2009-09-30 |
| 1164680286 | Gino Franco Piparo | Pathology | 12901 Bruce B Downs Blvd # 11, Tampa, FL 33612-4742 | 2008-05-27 |
| 1780807057 | Piotr Borkowski | Pathology | 4225 East. Fowler Ave, Tampa, FL 33617-2026 | 2007-04-11 |
| 1013064021 | Joseph Andrew Migliozzi | Pathology | 9812 Compass Point Way, Tampa, FL 33615-4218 | 2007-01-04 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.