IndividualActive
Ian Martin, D.O.
NPI 1174866149 · Anatomic Pathology & Clinical Pathology Physician · Tampa, FL
Provider details
- NPI number
- 1174866149
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- DO.1717 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12901 Bruce B Downs Blvd # 41
Tampa, FL 33612-4742
Phone: (813) 844-7412
Fax: (813) 974-8359
Street-level locationGet directions
Mailing address
12901 Bruce B Downs Blvd # 41
Tampa, FL 33612-4742
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2019-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.