Organization Active NPI

Suzanne Martincak , PL

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1285804039
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9176243 Issued in FL
Legal business name
SUZANNE MARTINCAK , PL
Practice address
924 W 13TH St
Panama City, FL 32401-2214
Phone
(850) 763-8643
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2008

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

Authorized official

Name
Mrs. Suzanne Martincak, ARNP
Title
Nurse Practioner/ Midwife
Phone
(850) 628-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 9176243 FL Primary

Addresses

Primary practice location

924 W 13TH St
Panama City, FL 32401-2214

Mailing address

521 Highway 2297
Panama City, FL 32404-2919
Phone (850) 628-1969

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204934400000",
    "number": "1285804039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 HIGHWAY 2297",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324042919",
            "telephone_number": "850-628-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W 13TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012214",
            "telephone_number": "850-763-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE MARTINCAK , PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-08",
        "status": "A",
        "authorized_official_last_name": "MARTINCAK",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "NURSE PRACTIONER/ MIDWIFE",
        "authorized_official_telephone_number": "850-628-1969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9176243",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 8, 2008; 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.