Organization Active NPI

Gulf Coast Anesthesia LLC

  • Anesthesiology Physician
  • Panama City, FL
National Provider Identifier
1275534059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L04000049725 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
74982OtherFLBCBS

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.