Mahan Medical

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

MAHAN MEDICAL

Practice address

1705 Mahan Dr
Tallahassee, FL 32308-5201

Phone

(850) 877-7164

Fax

(850) 656-1391

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By 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

Mickey Pickler

Title

VP

Phone

(800) 661-3365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053440610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085201",
            "telephone_number": "850-877-7164",
            "fax_number": "850-656-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085201",
            "telephone_number": "850-877-7164",
            "fax_number": "850-656-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-661-3365"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lani Michelle Magee, LCSW
• Magnolia Pediatrics Group LLC
• Magnolia Pediatrics Group, LLC
• Magnolia Wellness Center, LLC
• Amy Foster Magnuson, PHD
• Mahan Medical Walk in (Wilton R Kane MD)
• Bailey Mahan
• Sujatha Mahesh
• Carl F. Mahler, M.S.
• John P. Mahoney, M.D.

• Critical Care Medicine (Internal Medicine) Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.