Bay Arthritis Institute

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME106424 Issued in FL

Legal business name

BAY ARTHRITIS INSTITUTE

Practice address

2401 State Ave Ste 100
Panama City, FL 32405-3942

Phone

(850) 215-3062

Fax

(850) 215-3024

NPI assigned

Jan 17, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Adele McLennon

Title

Administration/ Head Biller

Phone

(850) 215-3062

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9285/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Amir B Agha, MD

  • Rheumatology Physician
  • Panama City, FL
  • NPI 1831381789
  Medicare reassignment Care Compare group NPD
• Shelley Keller Clark, AG-ACNP

  • Acute Care Nurse Practitioner
  • Panama City, FL
  • NPI 1376077636
  Medicare reassignment Care Compare group NPD
• Jordan Wester, ARNP

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1174088967
  Medicare reassignment Care Compare group NPD
• Tamara Cartuyvels Holland, PA-C

  • Physician Assistant
  • Panama City, FL
  • NPI 1689529422
  NPD
• Jensen Clifford

  • Physician Assistant
  • Panama City, FL
  • NPI 1073437000
  NPD (past)

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1073935540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15459",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065459",
            "telephone_number": "850-215-3062",
            "fax_number": "850-215-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 STATE AVE STE 100",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053942",
            "telephone_number": "850-215-3062",
            "fax_number": "850-215-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Panama City Beach Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072532",
            "country_code": "US",
            "telephone_number": "850-215-3062",
            "fax_number": "850-215-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY ARTHRITIS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "MCLENNON",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "ADMINISTRATION/ HEAD BILLER",
        "authorized_official_telephone_number": "850-215-3062",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME106424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020424800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Taylor Bauman, D.C.
• Walter Reid Bauman, D.C.
• Michelle Lavette Bautista, ARNP
• Doreen Baxley, PT
• Skylar Baxley, RBT
• Bay Center Rehabilitation, LLC
• Bay Clinic of Chiropractic LLC
• Bay County Board of County Commissioners
• Bay County Council on Aging, Inc.
• Bay County Council on Aging, Inc.

• Rheumatology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.