NPIMap

Organization Active NPI

Fred E Gatiher II DPM

  • Podiatrist
  • Panama City Beach, FL
National Provider Identifier
1649895822
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FRED E GATIHER II DPM
Practice address
2 Miracle Strip Loop Ste 3
Panama City Beach, FL 32407-8412
Phone
(850) 763-7244
Fax
(850) 763-0157
NPI assigned
Jun 12, 2020
Last updated
Jun 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Fred E Gaither, DPMNPI 1750312096
Title
Owner/Doctor
Phone
(850) 763-7244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

2 Miracle Strip Loop Ste 3
Panama City Beach, FL 32407-8412

Mailing address

2430 Jenks Ave
Panama City, FL 32405-4304
Phone (850) 763-7244

Other practice location 1

2430 Jenks Ave
Panama City, FL 32405-4304
Phone (850) 763-7244

Other identifiers 2

IdentifierTypeStateIssuer
578NKOtherFLBLUE CROSS BLUE SHIELD
65627OtherFLBLUE CROSS & BLUE SHIELD

Other names 1

  • Bay Podiatry Center Other name

National Provider Directory

National Provider Directory

Locations

2 Miracle Strip Loop
Ste 3
Panama City Beach, FL 32407
Phone (850) 763-7244

Practitioners & affiliated clinicians

Practitioners 2

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": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1649895822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054304",
            "telephone_number": "850-763-7244",
            "fax_number": "850-763-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MIRACLE STRIP LOOP STE 3",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324078412",
            "telephone_number": "850-763-7244",
            "fax_number": "850-763-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Jenks Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054304",
            "country_code": "US",
            "telephone_number": "850-763-7244",
            "fax_number": "850-763-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRED E GATIHER II DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "GAITHER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "850-763-7244",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "578NK",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "65627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Podiatry Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.