Pediatric Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME92242 Issued in FL

Legal business name

PEDIATRIC GROUP

Doing business as

Future Pediatrics

Practice address

2420 Jenks Ave Unit 3
Panama City, FL 32405-4910

Phone

(850) 767-4777

Fax

(850) 763-4988

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed M Baker, M.D.

Title

Physician

Phone

(850) 767-4777

Specialties & licenses 1

Addresses

Other names 1

• Future Pediatrics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Abo Baker Mohamed, MD

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1699794149
  NPD (past)
• Lynn Marie Troncale, LPRN

  • Nurse Practitioner
  • Panama City, FL
  • NPI 1083259089
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1467761262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446230",
            "telephone_number": "850-767-4777",
            "fax_number": "850-763-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 JENKS AVE UNIT 3",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054910",
            "telephone_number": "850-767-4777",
            "fax_number": "850-763-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-767-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME92242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Future Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadine Sue Pearish, ARNP
• Angela J Pearson, N.P.
• Marlee Pease, FNP-BC
• Lawrence Dwayne Peavler, PA-C
• Clayton Peck
• Pediatric Services of America, LLC
• Pediatric Urgent Care PC
• Pediatrics Plus
• Pediatrics Plus
• Pediatrics Plus

• Pediatrics Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.