Phoenix Family Health Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN212 Issued in FL

Legal business name

PHOENIX FAMILY HEALTH CARE CENTER

Practice address

1581 Highway 98 W
Carrabelle, FL 32322-5009

Phone

(850) 697-3420

Fax

(850) 697-3423

NPI assigned

Oct 30, 2011

Last updated

Oct 2, 2012By 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

Dr. Lois Marie Mendez Catlin, ED.D.

Title

VP Business Manager

Phone

(850) 697-3420

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Lionel B Catlin, MD

  • Family Medicine Physician
  • Carrabelle, FL
  • NPI 1669491536
  Medicare reassignment

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

{
    "created_epoch": "1319932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1063798478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 HIGHWAY 98 W",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323225009",
            "telephone_number": "850-697-3420",
            "fax_number": "850-697-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 HIGHWAY 98 W",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323225009",
            "telephone_number": "850-697-3420",
            "fax_number": "850-697-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FAMILY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-30",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MENDEZ CATLIN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP BUSINESS MANAGER",
        "authorized_official_telephone_number": "850-697-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275192500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Kennedy
• Maria L. Horan, L.C.S.W., P.a.
• NHC-Op LP
• NHC-Op LP
• Pancare of Florida, Inc
• Karen Sue Rabinowitz, R.C.PH
• River Retreats Inc. Dba Harbor Breeze Senior Living
• Crystal Schultz
• Candice Sweet Sheridan, OTRL
• St. James Healthcare Group, Inc.

• Family Medicine Physician in Carrabelle, FL
• Providers in Carrabelle, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.