Organization Active NPI

Sea Oats Medical Clinic

  • Physician Assistant
  • Panama City, FL
National Provider Identifier
1407919087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2654 Issued in FL
Legal business name
SEA OATS MEDICAL CLINIC
Practice address
508 Airport Rd
Ste C & D
Panama City, FL 32405-4030
Phone
(850) 769-8624
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James D Deas
Title
Pac
Phone
(850) 769-8624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA2654 FL Primary

Addresses

Primary practice location

508 Airport Rd
Ste C & D
Panama City, FL 32405-4030

Mailing address

508 Airport Rd
Ste C & D
Panama City, FL 32405-4030

National Provider Directory

National Provider Directory

Locations

508 Airport Rd
Ste C
Panama City, FL 32405
Phone (850) 769-8624

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17900/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407919087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 AIRPORT RD",
            "address_2": "STE C & D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 AIRPORT RD",
            "address_2": "STE C & D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054030",
            "telephone_number": "850-769-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA OATS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PAC",
        "authorized_official_telephone_number": "850-769-8624"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2654",
            "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 Aug 22, 2020; 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.