William Tony McKenzie MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0093485 Issued in FL

Legal business name

WILLIAM TONY MCKENZIE MD, PA

Practice address

1397 Jenks Ave # 1
Panama City, FL 32401-2442

Phone

(850) 522-5864

Fax

(850) 522-5863

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Tony McKenzie, M.D.NPI 1326060682

Title

Owner

Phone

(850) 522-5864

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• William Tony McKenzie, M.D.

  • Pulmonary Disease Physician
  • Panama City, FL
  • NPI 1326060682

  FL

  Medicare reassignment Authorized official
• Elizabeth Ann Brownlee, PA-C

  • Physician Assistant
  • Gainesville, FL
  • NPI 1790750180
  NPD (past)
• Dorothy Dianne Cash, NP

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1871013441
  NPD (past)
• Jesus Maria Ramirez, M.D.

  • Specialist
  • Panama City, FL
  • NPI 1871522201
  NPD (past)
• Mary Margaret Rising, DNP

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1063910776
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194873539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 JENKS AVE # 1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012442",
            "telephone_number": "850-522-5864",
            "fax_number": "850-522-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 JENKS AVE # 1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012442",
            "telephone_number": "850-522-5864",
            "fax_number": "850-522-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM TONY MCKENZIE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-522-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0093485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11505271",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME0093485",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273178900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrie Dean Wilkins I
• Delia D Wilkins, PA
• James H Wilkins, PA C
• Lydia Wilkinson
• William J Flynn MD PA
• William W Dent Mdpa
• Angela Williams, ARNP
• Auzoiya Williams
• Brenda Joy Williams
• Charlotte Regina Williams

• All providers in Panama City, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.