NPIMap

Organization Active NPI

New Age Biomedical Services LLC

  • Anesthesiology Physician
  • Pensacola, FL
National Provider Identifier
1396067070
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NEW AGE BIOMEDICAL SERVICES LLC
Practice address
4600 N Davis Hwy
Ste 253
Pensacola, FL 32503-2337
Phone
(850) 494-0048
NPI assigned
Feb 22, 2010
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
John Mark Fannin, MDNPI 1134135122
Title
Member/Manager/President
Phone
(850) 494-0048

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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

4600 N Davis Hwy
Ste 253
Pensacola, FL 32503-2337

Mailing address

PO Box 116422
Atlanta, GA 30368-6422

National Provider Directory

National Provider Directory

Locations

4600 N Davis Hwy
Ste 253
Pensacola, FL 32503
Phone (850) 494-0048

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1396067070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116422",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N DAVIS HWY",
            "address_2": "STE 253",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032337",
            "telephone_number": "850-494-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE BIOMEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEMBER/MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "850-494-0048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.