NPIMap

Organization Active NPI

Panama City Infectious Disease Associates

  • Infectious Disease Physician
  • Panama City, FL
National Provider Identifier
1649701053
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ARNP9319629 Issued in FL
Legal business name
PANAMA CITY INFECTIOUS DISEASE ASSOCIATES
Practice address
2579 Huntcliff LN
Panama City, FL 32405-4902
Phone
(850) 763-8596
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Mrs. Cindy Boatright
Title
Office Manager
Phone
(850) 763-8596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ARNP9319629 FL Primary

Addresses

Primary practice location

2579 Huntcliff LN
Panama City, FL 32405-4902

Mailing address

2579 Huntcliff LN
Panama City, FL 32405-4902

National Provider Directory

National Provider Directory
Tax ID family
Panama City Infectious Disease Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2579 Huntcliff Ln
Panama City, FL 32405
Phone (850) 763-8596

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1649701053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-763-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA CITY INFECTIOUS DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-763-8596",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ARNP9319629",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 27, 2017; 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.