Active NPI
Fridley Roemer HCS, Inc.
- Clinic/Center
- Panama City, FL
National Provider Identifier
1205807914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- NP1376612
- Legal business name
- FRIDLEY ROEMER HCS, INC.
- Doing business as
- Fridley Roemer Health Care Services Inc.
- Practice address
- 644 Florida Ave
Unit E
Panama City, FL 32401-6355 - Phone
- (850) 896-1387
- NPI assigned
- Jan 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Roemer, PH.D NP-C
- Title
- Owner/Provider
- Phone
- (850) 896-1387
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NP1376612 | FL | Primary |
Addresses
Primary practice location
644 Florida Ave
Unit E
Panama City, FL 32401-6355
Mailing address
644 Florida Ave
Unit E
Panama City, FL 32401-6355
Phone (850) 896-1387
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376612 | Other | FL | MSC. IDENTIFIER STATE LIC |
| R49453 | Other | NM | STATE LICENSE # |
| Y6683 | Other | FL | BLUE CROSS BLUE SHIELD |
| 00200184549 | Medicaid | FL | |
| TRICARE STANDARD | Other | FL |
Other names 1
- Fridley Roemer Health Care Services Inc.
National Provider Directory
National Provider DirectoryLocations
4419 Tram Rd
Panama City, FL 32404
Phone (850) 747-5401
200 Forest Park Cir
Panama City, FL 32405
Phone (850) 257-5524
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Cottonwood, AZ
- NPI 1326200130
-
- Medical Physician Assistant
- Panama City, FL
- NPI 1720243702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1205807914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 FLORIDA AVE",
"address_2": "UNIT E",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324016355",
"telephone_number": "850-896-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 FLORIDA AVE",
"address_2": "UNIT E",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324016355",
"telephone_number": "850-896-1387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIDLEY ROEMER HCS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ROEMER",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "850-896-1387",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D NP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "NP1376612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSC. IDENTIFIER STATE LIC",
"identifier": "1376612",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "R49453",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y6683",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00200184549",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": null,
"identifier": "TRICARE STANDARD",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fridley Roemer Health Care Services Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.