Vickie N Harrell MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME70385 Issued in FL

Legal business name

VICKIE N HARRELL MD PA

Practice address

801 E 6TH Street
Suite 204
Panama City, FL 32401

Phone

(850) 913-0018

Fax

(850) 913-9137

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vickie N Harrell, M.D.NPI 1730155060

Title

President

Phone

(850) 913-0018

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFBDBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vickie N Harrell, M.D.

  • Internal Medicine Physician
  • Panama City, FL
  • NPI 1730155060
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1023101334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444",
            "telephone_number": "850-913-0018",
            "fax_number": "850-913-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH STREET",
            "address_2": "SUITE 204",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32401",
            "telephone_number": "850-913-0018",
            "fax_number": "850-913-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKIE N HARRELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-913-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "31748",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379777500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dhvanit K Vijapura, M.D.
• Simeon H. Vilchez, M.D.
• Bryana Villalobos, MS, LMHC
• Erin Faye Villegas, CRNA
• Kelsi Jean Vinson, CST, CSFA

• Internal Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.