Pain Clinic of Northwest FL Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

PMC 150 Issued in FL

Legal business name

PAIN CLINIC OF NORTHWEST FL INC

Practice address

2250 Harrison Ave
Panama City, FL 32405-4548

Phone

(850) 784-2477

Fax

(850) 784-6848

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Jay Joseph, M.D.

Title

Director

Phone

(850) 784-2477

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1427156140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054548",
            "telephone_number": "850-784-2477",
            "fax_number": "850-784-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054548",
            "telephone_number": "850-784-2477",
            "fax_number": "850-784-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CLINIC OF NORTHWEST FL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-784-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PMC 150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB PTAN",
            "identifier": "CM7126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Victoria Padgett, PHYSICALTHERAPISTRPT
• April L Page, APRN FNP-BC
• Brian Page
• Nia Page, LMHC
• Colleen Rose Pagoada, APRN, PMHNP-BC
• Jose Viana Paiva Jr., D.D.S
• Luz Maria Palacio, OTR/L
• Sophie Claire Palermo
• Barry Palizzi, D.O.
• Palmer Medical Supplies, Inc

• Specialist in Panama City, FL
• Providers in Panama City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.