STEPHEN DOUGLAS MARTIN (NPI# 1619916202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619916202 |
Entity Type | Individual |
Full Name | STEPHEN DOUGLAS MARTIN |
Credential | AGC, MPAS, PA-C |
Practice Address |
1401 N Himes Ave Tampa FL 33607 |
Practice Telephone | 8133933725 |
Mailing Telephone | 8133933725 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2010-07-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9101220 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | SUPPLIER ID | U6812Z | 01 |
FL | PA LICENSE NUMBER | 9101220 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992298616 | Stephen R. Martin | Family Medicine | Upmc Horizon Surgical Associates, 26 Nesbit Road, Suite 151, New Castle, PA 16105 | 2018-06-07 |
1649623307 | Stephen Joseph Martin | Dentist | 1247 W Madison St, Unit 214, Chicago, IL 60607-0800 | 2016-07-18 |
1417302936 | Stephen Christopher Martin | Specialist | 13805 53rd Ave N Apt 6, United States, Plymouth, MN 55446-1897 | 2016-05-03 |
1790124626 | Stephen Chase Martin | Psychologist | 208 E 51st St # 138, New York, NY 10022-6557 | 2013-06-25 |
1093031726 | Stephen K Martin | Optometrist | 22 W. 7200 S., Midvale, UT 84047 | 2010-04-20 |
1144233297 | Stephen Kelly Martin | Clinical Neuropsychologist | 3800 Paluxy Dr, Suite 450, Tyler, TX 75703-1629 | 2006-08-13 |
1043247463 | Stephen Roger Martin | Ophthalmology | 707 S Western Rd, Stillwater, OK 74074-4126 | 2006-06-28 |
1427028810 | Stephen Martin | Family Medicine | 151 Worcester Road, Barre Family Health Center, Barre, MA 01005 | 2006-01-26 |
1376522250 | Stephen Howard Martin | Dentist | 8405 196th Sw, Edmonds, WA 98026 | 2006-01-10 |
1588660542 | Stephen S Martin | Ophthalmology | 146 Academy St, Ste D, Presque Isle, ME 04769-3102 | 2005-06-24 |
Street Address |
1401 N HIMES AVE |
City | TAMPA |
State | FL |
Zip Code | 33607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
Find all providers in zip 33607 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336762046 | Samantha Martin | Physician Assistant | 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 | 2020-05-28 |
1124648159 | Christian Otero | Physician Assistant | 311 W Palm Ave, Tampa, FL 33602-2029 | 2020-04-20 |
1487219036 | Vanessa Natasha White | Physician Assistant | 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 | 2019-05-08 |
1518520873 | Zachary Luke Ulshafer | Physician Assistant | 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 | 2019-04-22 |
1548756893 | Christopher Jacob Bordelon | Physician Assistant | 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 | 2018-07-10 |
1871033340 | Amanda Lins Chissell | Physician Assistant | 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 | 2017-03-03 |
1669839767 | Barbara N Vargas | Physician Assistant | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 | 2016-01-20 |
1215305776 | Amber Lubas | Physician Assistant | 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 | 2015-09-14 |
1972988467 | Karla Michelle Mincone | Physician Assistant | 3040 W Cypress St # 103, Tampa, FL 33609-1615 | 2015-07-25 |
1326441767 | Brigett Brandjes | Physician Assistant | 2902 Usf Magnolia Drive, Tampa, FL 33612 | 2014-09-30 |
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.