Individual provider Active NPI

Mohammed M Zeinomar, M.D.

  • Pediatrics Physician
  • Panama City, FL
National Provider Identifier
1679521421
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0058398 Issued in FL
Practice address
102 Medical Center Dr
Panama City, FL 32405-4907
Phone
(850) 913-1666
Fax
(850) 913-1549
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X ME0058398 FL
Pediatrics Physician 208000000X ME0058398 FL Primary

Addresses

Primary practice location

102 Medical Center Dr
Panama City, FL 32405-4907

Mailing address

102 Medical Center Dr
Panama City, FL 32405-4907
Phone (850) 913-1666

Other identifiers 2

IdentifierTypeStateIssuer
25958OtherFLBLUE CROSS BLUE SHIELD
375975000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0058398FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Clinic of Pediatrics & Gi Medicine, Inc. Pediatrics Current Accepting new patients

Locations

102 Medical Center Dr
Panama City, FL 32405
Phone (850) 913-1666

Interoperability endpoints

  • Direct secure messaging: mohammed.zeinomar@tcopagmi-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1679521421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEDICAL CENTER DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054907",
            "telephone_number": "850-913-1666",
            "fax_number": "850-913-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL CENTER DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054907",
            "telephone_number": "850-913-1666",
            "fax_number": "850-913-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEINOMAR",
        "first_name": "MOHAMMED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME0058398",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0058398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25958",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375975000",
            "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 Mar 24, 2025; 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.