Individual provider Active NPI

Kim Marie Bintz, PA

  • Physician Assistant
  • Panama City, FL
National Provider Identifier
1235129651
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9101607 Issued in FL
Practice address
1008 Jenks Ave
Panama City, FL 32401-2437
Phone
(850) 215-3000
Fax
(850) 215-3150
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03049 TX
Physician Assistant 363A00000X PA 9101607 FL Primary

Addresses

Primary practice location

1008 Jenks Ave
Panama City, FL 32401-2437

Mailing address

1008 Jenks Ave
Panama City, FL 32401-2437
Phone (850) 215-3000

Other names 1

  • Kim Marie Bintz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000774 FL Practitioner - Physician Assistant 7214097344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9101607FLMDPhysician Assistant
PA03049TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela a. Overmyer, PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1235129651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012437",
            "telephone_number": "850-215-3000",
            "fax_number": "850-215-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012437",
            "telephone_number": "850-215-3000",
            "fax_number": "850-215-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINTZ",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03049",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9101607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "BINTZ",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.