Panhandle Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8371 Issued in FL

Legal business name

PANHANDLE FAMILY MEDICINE, LLC

Practice address

310 E Byrd Ave
Suite B
Bonifay, FL 32425-3068

Phone

(850) 547-4555

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Ayshia Ellis Hatcher, MSM

Title

Practice Manager

Phone

(850) 638-4555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1306140942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 3RD ST",
            "address_2": "SUITE 4",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BYRD AVE",
            "address_2": "SUITE B",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253068",
            "telephone_number": "850-547-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "AYSHIA",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-638-4555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osama Shuaib Ismail
• Osama Shuaib Ismail MD LLC
• John Stanley Owens, D.C.
• Pak Rural Health
• Pancare of Florida, Inc
• Brian A Parker, D.M.D.
• Stanley M Parker, D.M.D.
• Jonathan Odell Paul, ARNP-BC
• Shelia Ann Paul
• Jessica Payne, LPN

• Family Medicine Physician in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.