Panama City Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME67903 Issued in FL

Legal business name

PANAMA CITY PLASTIC SURGERY LLC

Practice address

500 Airport Rd
Panama City, FL 32405-4011

Phone

(850) 769-7270

Fax

(850) 769-7229

NPI assigned

Nov 1, 2006

Last updated

May 13, 2025By 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

Christine Youngblood

Title

Billing

Phone

(850) 769-7270

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/HBFECA

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.

• Raymond A Mockler, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Panama City, FL
  • NPI 1053499624
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1043398621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AIRPORT RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054011",
            "telephone_number": "850-769-7270",
            "fax_number": "850-769-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AIRPORT RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054011",
            "telephone_number": "850-769-7270",
            "fax_number": "850-769-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA CITY PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "850-769-7270"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME67903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "416430891",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27145",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panama City Infectious Disease Associates PA
• Panama City Inpatient Services LLC
• Panama City Neurosurgery PA
• Panama City Pediatrics PA
• Panama City Pharmacy Inc (Smiths Pharmacy)
• Panama City Ppec, LLC
• Panama City Ppec, LLC
• Panama City Primary Care
• Panama City Psychiatric Care
• Panama City Smiles PA

• Plastic and Reconstructive Surgery Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.