Individual provider Active NPI

Anthony V Lanasa, MD

  • Family Medicine Physician
  • Destin, FL
National Provider Identifier
1447245105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013145 Issued in LA
Practice address
12272 US Highway 98 W
Destin, FL 32550-6939
Phone
(850) 269-0662
Fax
(850) 269-0745
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 013145 LA Primary

Addresses

Primary practice location

12272 US Highway 98 W
Destin, FL 32550-6939

Mailing address

12272 US Highway 98 W
Destin, FL 32550-6939
Phone (850) 269-0662

Other identifiers 1

IdentifierTypeStateIssuer
1186104MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Freeport Family Medicine LLC Family Medicine Past Accepting new patients
Twin Cities Primary Care- Destin LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthony.lanasa@hca5.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447245105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 US HIGHWAY 98 W",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325506939",
            "telephone_number": "850-269-0662",
            "fax_number": "850-269-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 US HIGHWAY 98 W",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325506939",
            "telephone_number": "850-269-0662",
            "fax_number": "850-269-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANASA",
        "first_name": "ANTHONY",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "013145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186104",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.