Organization Active NPI

Coastal Allergy & Asthma P.a.

  • Specialist
  • Panama City, FL
National Provider Identifier
1255529772
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME90802 Issued in FL
Legal business name
COASTAL ALLERGY & ASTHMA P.A.
Practice address
3228 East 15TH Street
Panama City, FL 32405
Phone
(850) 784-2611
Fax
(850) 784-2614
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Dr. Binita Amin, MD
Title
Owner
Phone
(850) 784-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME90802 FL Primary

Addresses

Primary practice location

3228 East 15TH Street
Panama City, FL 32405

Mailing address

3228 East 15TH Street
Panama City, FL 32405
Phone (850) 784-2611

Other identifiers 1

IdentifierTypeStateIssuer
274657300MedicaidFL

National Provider Directory

National Provider Directory

Locations

3228 E 15th St
Panama City, FL 32405
Phone (850) 628-2113

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1255529772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 EAST 15TH STREET",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-784-2611",
            "fax_number": "850-784-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 EAST 15TH STREET",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-784-2611",
            "fax_number": "850-784-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ALLERGY & ASTHMA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "BINITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-784-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274657300",
            "state": "FL"
        }
    ],
    "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 Sep 13, 2011; 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.