Active NPI
Emerald Isle Pulmonary Medicine Inc
- Pulmonary Disease Physician
- Panama City, FL
National Provider Identifier
1649373762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME61983
- Legal business name
- EMERALD ISLE PULMONARY MEDICINE INC
- Practice address
- 221 E 23Rd St
Suite B
Panama City, FL 32405-7612 - Phone
- (850) 872-0502
- Fax
- (850) 872-0677
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy G Moriarty, M.D.
- Title
- President
- Phone
- (850) 872-0502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME61983 | FL | Primary |
Addresses
Primary practice location
221 E 23Rd St
Suite B
Panama City, FL 32405-7612
Mailing address
PO Box 9560
Panama City Beach, FL 32417-9560
Phone (850) 872-0502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15134 | Other | FL | BCBS OF FLORIDA |
| 370919100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265068800000",
"number": "1649373762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9560",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324179560",
"telephone_number": "850-872-0502",
"fax_number": "850-872-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E 23RD ST",
"address_2": "SUITE B",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057612",
"telephone_number": "850-872-0502",
"fax_number": "850-872-0677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD ISLE PULMONARY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2010-02-02",
"status": "A",
"authorized_official_last_name": "MORIARTY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-872-0502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME61983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "15134",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370919100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
- Emerald Coast Pediatrics & Adolescents
- Emerald Coast Regen, PA
- Emerald Coast Sleep Diagnostics
- Emerald Coast Sleep Diagnostics
- Emerald Coast Ventures Inc (The Good Feet Store)
- Emerald Waters Inpatient Services LLC
- Jacqueline Emond, LMHC CSOTS
- Empowerher Health Physical Therapy, LLC
- Encompass Health Rehabilitation Hospital of Panama City, Inc.
- Gregory James England, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.