NPIMap

Organization Active NPI

Mustafa a Hammad MD PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Panama City, FL
National Provider Identifier
1063602258
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
MUSTAFA A HAMMAD MD PA
Practice address
1931 Martin Luther King Jr Blvd
Panama City, FL 32405-4704
Phone
(850) 215-7093
Fax
(850) 215-7096
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Mr. Mustafa Hammad, M.D.
Title
President
Phone
(850) 215-7093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

1931 Martin Luther King Jr Blvd
Panama City, FL 32405-4704

Mailing address

1931 Martin Luther King Jr Blvd
Panama City, FL 32405-4704
Phone (850) 215-7093

Other identifiers 1

IdentifierTypeStateIssuer
273535100MedicaidFL

National Provider Directory

National Provider Directory

Locations

645 N Highway 231
Panama City, FL 32405
Phone (850) 215-3612

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1063602258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054704",
            "telephone_number": "850-215-7093",
            "fax_number": "850-215-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054704",
            "telephone_number": "850-215-7093",
            "fax_number": "850-215-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAFA A HAMMAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "HAMMAD",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-215-7093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273535100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.