Organization Active NPI

R J Gamad M.D.,P.a.

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1588976252
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0021270 Issued in FL
Legal business name
R J GAMAD M.D.,P.A.
Doing business as
Rogelio J Gamad M.D.,P.A.
Practice address
3232 E 15TH St
Panama City, FL 32405-7423
Phone
(850) 769-1533
Fax
(850) 785-1189
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Rogelio Jinco Gamad, M.D.
Title
Physician
Phone
(850) 769-1533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0021270 FL Primary

Addresses

Primary practice location

3232 E 15TH St
Panama City, FL 32405-7423

Mailing address

3232 E 15TH St
Panama City, FL 32405-7423
Phone (850) 769-1533

Other identifiers 1

IdentifierTypeStateIssuer
055380800MedicaidFL

Other names 1

  • Rogelio J Gamad M.D.,P.A. Doing business as

National Provider Directory

National Provider Directory

Locations

3232 E 15th St
Panama City, FL 32405
Phone (850) 532-5157

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1588976252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057423",
            "telephone_number": "850-769-1533",
            "fax_number": "850-785-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057423",
            "telephone_number": "850-769-1533",
            "fax_number": "850-785-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R J GAMAD M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GAMAD",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_middle_name": "JINCO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-769-1533",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0021270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055380800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogelio J Gamad M.D.,P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2014; 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.