Southern Bay Anesthesia & Pain Management PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME48318 Issued in FL

Legal business name

SOUTHERN BAY ANESTHESIA & PAIN MANAGEMENT PA

Practice address

801 E 6TH St
Panama City, FL 32401-3661

Phone

(850) 872-2587

Fax

(850) 784-7706

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roger J Spencer, M.D.NPI 1578523759

Title

President

Phone

(850) 872-2587

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.

• Roger Spencer, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Panama City, FL
  • NPI 1578523759
  Medicare reassignment NPD Authorized official
• Marta Mauney Salter, NP-C

  • Nurse Practitioner
  • Panama City, FL
  • NPI 1336751585
  Medicare reassignment NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275637779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324020024",
            "telephone_number": "850-872-2587",
            "fax_number": "850-784-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013661",
            "telephone_number": "850-872-2587",
            "fax_number": "850-784-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BAY ANESTHESIA & PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-872-2587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME48318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "02293",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Kaur Soni, MD
• Sonrisa Panama City LLC
• Michelle Sosa
• Jay Sourbeer, M.D.
• Southeastern Dermatology Group PA
• Southern Breeze Primary Care, LLC
• Southern Dietetics, Inc.
• Southern Eye Specialists PC
• Southern Health Partners, Inc.
• Southern Home Care Services, Inc.

• Pain Medicine (Anesthesiology) Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Pain Medicine (Anesthesiology) 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.
• 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.