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STEPHEN DOUGLAS MARTIN AGC, MPAS, PA-C
NPI 1619916202
Physician Assistant - Medical in Tampa, FL

Active since June 06, 2006
1401 N HIMES AVE, TAMPA, FL 33607(813) 393-3725 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Douglas Martin Agc, Mpas, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN DOUGLAS MARTIN AGC, MPAS, PA-C (NPI 1619916202) is an individual medical provider in Tampa, Florida, licensed in Florida (PA 9101220) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619916202
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSTEPHEN DOUGLAS MARTINCredential: AGC, MPAS, PA-C
Location Address1401 N HIMES AVETampa, FL 33607
Mailing Address1401 N Himes AveTampa, FL 33607 · (813) 393-3725
Phone(813) 393-3725
Sole ProprietorYes
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 1, 2010
✔ NPI 1619916202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA 9101220
1401 N HIMES AVE, Tampa, FL 33607
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Other Identifiers 3

Other9101220FL · Pa License Number
OtherU6812ZFL · Supplier Id
Medicare UPINS41950FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Martin's NPI number?

The NPI number for Stephen Martin is 1619916202. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Stephen Martin located?

Stephen Martin practices at 1401 N Himes Ave, Tampa, FL 33607. The listed phone number is (813) 393-3725.

What is Stephen Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Stephen Martin was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.