Panama City Surgery Center,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1178 Issued in FL

Legal business name

PANAMA CITY SURGERY CENTER,LLC

Practice address

1800 Jenks Ave
Panama City, FL 32405-4642

Phone

(850) 769-3191

Fax

(850) 769-3192

NPI assigned

Jan 26, 2006

Last updated

Jul 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Madewell

Title

Administrator

Phone

(850) 769-3191

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Panama City Surgery CenterCCN 10C0001407

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory R Gaiser, D.O.

  • Orthopaedic Surgery Physician
  • Panama City, FL
  • NPI 1386689867
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1023088473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054642",
            "telephone_number": "850-769-3191",
            "fax_number": "850-769-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054642",
            "telephone_number": "850-769-3191",
            "fax_number": "850-769-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA CITY SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MADEWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-769-3191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075701200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panama City Primary Care
• Panama City Psychiatric Care
• Panama City Smiles PA
• Panama City Spine LLC
• Panama City Springs & Recovery Center, Inc (Florida Springs Wellness & Recovery Center)
• Panama Drugs Inc (panama drugs)
• Pancare of Florida, Inc
• Pancare of Florida, Inc
• Pancare of Florida, Inc
• Pancare of Florida, Inc

• Ambulatory Surgical Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.