Organization Active NPI

Emerald Isle Pulmonary Medicine Inc

  • Pulmonary Disease Physician
  • Panama City, FL
National Provider Identifier
1649373762
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME61983 Issued in FL
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

Updated by the provider on Feb 2, 2010

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
15134OtherFLBCBS OF FLORIDA
370919100MedicaidFL

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.