Organization Active NPI

House Call Pediatrics

  • Pediatrics Physician
  • Panama City, FL
National Provider Identifier
1447681804
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME91470 Issued in FL
Legal business name
HOUSE CALL PEDIATRICS
Practice address
625 W Baldwin Rd Ste B
Panama City, FL 32405-3359
Phone
(850) 628-9240
Fax
(850) 522-5925
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Rubina Azam, MD
Title
Owner
Phone
(850) 628-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME91470 FL Primary

Addresses

Primary practice location

625 W Baldwin Rd Ste B
Panama City, FL 32405-3359

Mailing address

625 W Baldwin Rd Ste B
Panama City, FL 32405-3359
Phone (850) 628-9240

Other identifiers 1

IdentifierTypeStateIssuer
270961900MedicaidFL

National Provider Directory

National Provider Directory

Locations

625 W Baldwin Rd
Ste B
Panama City, FL 32405
Phone (850) 596-0476

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1447681804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-628-9240",
            "fax_number": "850-522-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-628-9240",
            "fax_number": "850-522-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-628-9240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME91470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270961900",
            "state": "FL"
        }
    ],
    "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 Dec 10, 2013; 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.