Alpha Radiology

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0039163 Issued in FL

Legal business name

ALPHA RADIOLOGY

Practice address

1304 Harrison Ave
Panama City, FL 32401-2435

Phone

(850) 785-3749

Fax

(850) 785-0409

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim A Elkomy, MD

Title

Owner

Phone

(850) 785-3749

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1669654927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012435",
            "telephone_number": "850-785-3749",
            "fax_number": "850-785-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012435",
            "telephone_number": "850-785-3749",
            "fax_number": "850-785-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "ELKOMY",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-785-3749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0039163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "39834",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Lynn Allore, OTD
• Mikaela A Allusson, MSW
• Jonathan Almand, PA
• Vanessa Lynn Almy, MSW, LCSW, MCAP
• Alpha Home Health Care, LLC
• Ahmad S Aly, RPH.
• Amanda R Byers OD PA (Academy of Eye Care)
• Ariz Sam Amaria, R.P.T
• Ameri Kare, LLC
• America's Best Contacts & Eyeglasses

• Specialist in Panama City, FL
• Providers in Panama City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.