Panama City Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME91470 Issued in FL

Legal business name

PANAMA CITY PEDIATRICS PA

Practice address

1937 Harrison Ave
Panama City, FL 32405-4543

Phone

(850) 747-3048

Fax

(850) 747-0194

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eehab A Kenawy, M.D.

Title

President

Phone

(850) 747-3661

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235150863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15697",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065697",
            "telephone_number": "850-747-3048",
            "fax_number": "850-747-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054543",
            "telephone_number": "850-747-3048",
            "fax_number": "850-747-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA CITY PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENAWY",
        "authorized_official_first_name": "EEHAB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-747-3661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME91470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "94947",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panama City General Surgery PA
• Panama City Infectious Disease Associates
• Panama City Infectious Disease Associates PA
• Panama City Inpatient Services LLC
• Panama City Neurosurgery PA
• Panama City Pharmacy Inc (Smiths Pharmacy)
• Panama City Plastic Surgery LLC
• Panama City Ppec, LLC
• Panama City Ppec, LLC
• Panama City Primary Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.