325TH Medgrp-Tyndall

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

325TH MEDGRP-TYNDALL

Practice address

340 Magnolia Cir
Panama City, FL 32403-5604

Phone

(850) 283-7736

Fax

(850) 283-7191

NPI assigned

Feb 6, 2006

Organization subpart

Yes

Parent organization

325TH MEDGRP-TYNDALLAs reported in NPPES

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

Authorized official

Name

Jen Lewandowski

Title

Air Force Uniform Business Office

Phone

(703) 817-4030

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

325 MDG4 organizations share this tax ID, including this one

Part of

325 MDG

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• 325 MDG

  • Psychologist
  • Tyndall AFB, FL
  • NPI 1568436962
  NPD tax ID
• 325TH Medgrp-Tyndall

  dba DoD TYNDALL ePhcy

  • Military/U.S. Coast Guard Pharmacy
  • Tyndall AFB, FL
  • NPI 1962801928
  NPD tax ID
• 325TH Medical Group (Usaf)

  • Clinic/Center
  • Tyndall AFB, FL
  • NPI 1487628384
  NPD tax ID

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1063484707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7736",
            "fax_number": "850-283-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7736",
            "fax_number": "850-283-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "325TH MEDGRP-TYNDALL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "325TH MEDGRP-TYNDALL",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "AIR FORCE UNIFORM BUSINESS OFFICE",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1075286",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Military/U.S. Coast Guard Outpatient Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.