Panhandle Surgical Services

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME102627 Issued in FL

Legal business name

PANHANDLE SURGICAL SERVICES

Practice address

2202 State Ave
Ste 104
Panama City, FL 32405-7601

Phone

(850) 640-3320

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Dottie Clark

Title

Manager

Phone

(850) 640-3320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1184173338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "STE 104",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-640-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "STE 104",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-640-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DOTTIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-640-3320",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME102627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1528213394",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panhandle Anesthesiologists, Inc.
• Panhandle Behavioral Services, LLC
• Panhandle Dental Care, PA
• Panhandle Non Emergency Transportation Inc
• Panhandle Pediatric Dentistry, PLLC (Panhandle Pediatric Dentistry)
• Cinthya Paniagua Frisancho
• Amanda Margaret Panousis, DMD
• James C Pappas, M.D.
• Jolene O. Paramore, DMD
• Emileigh Christine Parda

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.