Callaway Clinic L L C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CALLAWAY CLINIC L L C

Practice address

489 N Tyndall Pkwy
Panama City, FL 32404-6126

Phone

(850) 769-2803

Fax

(850) 913-8046

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ketan A Patel, M.D.

Title

Owner

Phone

(850) 769-2803

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1659577690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N TYNDALL PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046126",
            "telephone_number": "850-769-2803",
            "fax_number": "850-913-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 N TYNDALL PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046126",
            "telephone_number": "850-769-2803",
            "fax_number": "850-913-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY CLINIC L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-769-2803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cabbage Palm Inpatient Services LLC
• Leah Drue Cahoon, BA, RBT
• Felicia Cain, ATC, PTA
• Diane Caldwell, LMHC
• John Thomas Caldwell II, DC
• Callaway Gulf Coast Pharmacy Co
• Callaway Health Services, Inc.
• Catherine M. Callender, PH.D.
• Jordan Camba
• Antonio L Campbell, LPN

• Internal Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.