The Anti-Aging Clinic of Northwest Florida

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME107784 Issued in FL

Legal business name

THE ANTI-AGING CLINIC OF NORTHWEST FLORIDA

Practice address

3019 Osprey Cir
Panama City, FL 32405

Phone

(850) 630-8368

NPI assigned

Jan 25, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy John Ramsden, MD

Title

Owner/President

Phone

(850) 630-8368

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18303/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1003314915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 OSPREY CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 OSPREY CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-630-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANTI-AGING CLINIC OF NORTHWEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "RAMSDEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-630-8368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "FL",
            "license": "ME107784",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME107784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Laurene Terry
• Victoria Augusta Terry, REGISTERED NURSE
• Brian Tesnar, PA
• Lindsey Tew, PHARMD
• Binh Than, O.D.
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• The Clinic of Pediatrics & Gi Medicine, Inc.
• The Cove Health and Rehabilitation, LLC
• The Eye Gallery DC, LLC
• The Legacy House PLLC

• Gynecology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.