Active NPI
Gulf Coast Anesthesia LLC
- Anesthesiology Physician
- Panama City, FL
National Provider Identifier
1275534059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- L04000049725
- Legal business name
- GULF COAST ANESTHESIA LLC
- Practice address
- 767 Airport Rd
Panama City, FL 32405-4000 - Phone
- (850) 747-0400
- Fax
- (850) 913-9744
- NPI assigned
- Aug 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joan Francis Elzawahry, MD
- Title
- Owner
- Phone
- (850) 747-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L04000049725 | FL | Primary |
Addresses
Primary practice location
767 Airport Rd
Panama City, FL 32405-4000
Mailing address
767 Airport Rd
Panama City, FL 32405-4000
Phone (850) 747-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74982 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275534059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 AIRPORT RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054000",
"telephone_number": "850-747-0400",
"fax_number": "850-913-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 AIRPORT RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054000",
"telephone_number": "850-747-0400",
"fax_number": "850-913-9744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELZAWAHRY",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-747-0400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "FL",
"license": "L04000049725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "74982",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
- Danielle Janine Grontas, APRN
- Angela Gruber
- Guillot Enterprises, LLC
- Stephanie Berlyn Guise, LCSW
- Gulf Coast Addiction Medicine
- Gulf Coast Autism Clinic, LLC
- Gulf Coast Children'S Advocacy Center Inc.
- Gulf Coast Children'S Advocacy Center, Inc.
- Gulf Coast Counseling Services of Bay County
- Gulf Coast Health Care Associates LLC
Sources for this page
- 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.