NPIMap

Organization Active NPI

Tim M Smith, M.D.

  • General Practice Physician
  • Panama City, FL
National Provider Identifier
1356519128
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME8816 Issued in FL
Legal business name
TIM M SMITH, M.D.
Practice address
100 Doctors Dr
Panama City, FL 32405-7608
Phone
(850) 763-3722
Fax
(850) 785-7393
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Tim M Smith Jr., M.D.NPI 1295811537
Title
Owner
Phone
(850) 763-3722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME8816 FL Primary

Addresses

Primary practice location

100 Doctors Dr
Panama City, FL 32405-7608

Mailing address

100 Doctors Dr
Panama City, FL 32405-7608
Phone (850) 763-3722

National Provider Directory

National Provider Directory

Locations

100 Doctors Dr
Ste A
Panama City, FL 32405
Phone (850) 763-3722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1356519128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057608",
            "telephone_number": "850-763-3722",
            "fax_number": "850-785-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057608",
            "telephone_number": "850-763-3722",
            "fax_number": "850-785-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM M SMITH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-763-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME8816",
            "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 Feb 14, 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.