Waterside Medical Services, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS6664 Issued in FL

Legal business name

WATERSIDE MEDICAL SERVICES, INC.

Practice address

3210 Highway 77
Panama City, FL 32405-5022

Phone

(850) 872-1951

Fax

(850) 872-1952

NPI assigned

May 5, 2015

Last updated

May 5, 2015By 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. Michael J Smith, DCNPI 1720127806

Title

Owner

Phone

(850) 872-1951

Specialties & licenses 1

Addresses

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.

• Michael J Smith, D.C.

  • Chiropractor
  • Panama City, FL
  • NPI 1720127806
  Authorized official Same address or phone

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1184001570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 HIGHWAY 77",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055022",
            "telephone_number": "850-872-1951",
            "fax_number": "850-872-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 HIGHWAY 77",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055022",
            "telephone_number": "850-872-1951",
            "fax_number": "850-872-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSIDE MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-872-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS6664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Warner, IDMT
• Warren T Hitt MD, PA
• Brenda Sue Warren, R.D., L.D.N.
• Benjamin Michael Wasson
• Donna D Waters, LPTA
• Brendan Stewart Watson
• Charlene Denise Watson
• Jimmy D Watson, BSW
• Stacy Watson
• Samuel Watts

• General Practice Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.