STEPHEN DOUGLAS MARTIN


Address: 1401 N Himes Ave, Tampa, FL 33607
Phone: 8133933725

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL SUPPLIER ID U6812Z 01
FL PA LICENSE NUMBER 9101220 01

Other Providers STEPHEN MARTIN

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

Office Location

Street Address 1401 N HIMES AVE
City TAMPA
State FL
Zip Code 33607

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City TAMPA
Zip Code 33607

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Dataset Information

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.

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