Nu Wave Medical Center PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME83912 Issued in FL

Legal business name

NU WAVE MEDICAL CENTER PA

Practice address

12007 Panama City Beach Parkway
Panama City Beach, FL 32407-2607

Phone

(850) 249-6363

Fax

(850) 249-6675

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gurprit Sekhon, MDNPI 1871541094

Title

MD

Phone

(850) 249-6363

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Gurprit Sekhon, MD

  • Internal Medicine Physician
  • Panama City Beach, FL
  • NPI 1871541094
  Medicare reassignment NPD Authorized official
• Lauren Shimp, ARNP, FNP-C

  • Nurse Practitioner
  • Inlet Beach, FL
  • NPI 1164906715
  Medicare reassignment NPD

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1245475367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9415",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073823",
            "telephone_number": "850-249-6363",
            "fax_number": "850-249-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 PANAMA CITY BEACH PARKWAY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072607",
            "telephone_number": "850-249-6363",
            "fax_number": "850-249-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU WAVE MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SEKHON",
        "authorized_official_first_name": "GURPRIT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "850-249-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263126100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marabeth Nichols
• North Florida Surgeons, PA
• North Lagoon Medical, LLC
• Mimi Celina North, LMT
• Northwest Florida Wound Care and Hyperbaric Center LLC
• Madison Mae Schantz Nugent, OTR/L
• Nursetel LLC
• Christopher Ohsie, D.C.
• Oliver M Hasek Jr LLC
• Dianna Olsen, MA, CAP

• Internal Medicine Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.