NPIMap

Organization Active NPI

Invalid Npi

  • Cardiovascular Disease Physician
  • Panama City, FL
National Provider Identifier
1225432727
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INVALID NPI
Practice address
801 E 6TH St
Suite 504
Panama City, FL 32401-3661
Phone
(850) 769-0329
NPI assigned
Oct 14, 2014
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Glenda M Cook
Title
Director of Business Operations
Phone
(850) 769-0329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

801 E 6TH St
Suite 504
Panama City, FL 32401-3661

Mailing address

801 E 6TH St
Suite 504
Panama City, FL 32401-3661
Phone (850) 769-0329

National Provider Directory

National Provider Directory
Tax ID family
Cardiology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1225432727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST",
            "address_2": "SUITE 504",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013661",
            "telephone_number": "850-769-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST",
            "address_2": "SUITE 504",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013661",
            "telephone_number": "850-769-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVALID NPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "850-769-0329"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 2, 2024; 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.