Organization Active NPI

Richard a Adelman Jr MD PA

Doing business as The Vein and Laser Center

  • Phlebology Physician
  • Panama City, FL
National Provider Identifier
1689874729
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
ME43574 Issued in FL
Legal business name
RICHARD A ADELMAN JR MD PA
Doing business as
The Vein and Laser Center
Practice address
738 Harrison Ave
Panama City, FL 32401-2524
Phone
(850) 747-8346
Fax
(850) 747-9649
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Richard A Adelman Jr., M.D.
Title
President
Phone
(850) 747-8346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X ME43574 FL Primary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X ME43574 FL

Addresses

Primary practice location

738 Harrison Ave
Panama City, FL 32401-2524

Mailing address

738 Harrison Ave
Panama City, FL 32401-2524
Phone (850) 747-8346

Other identifiers 3

IdentifierTypeStateIssuer
0704755OtherFLUNITED HEALTHCARE
03614OtherFLBLUE CROSS BLUE SHIELD
4278623OtherFLAETNA

Other names 1

  • THE VEIN AND LASER CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

824 Ohio Ave
Lynn Haven, FL 32444
Phone (850) 215-4455

738 Harrison Ave
Panama City, FL 32401
Phone (850) 747-8346

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1689874729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-747-8346",
            "fax_number": "850-747-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-747-8346",
            "fax_number": "850-747-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A ADELMAN JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-747-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME43574",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME43574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0704755",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03614",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4278623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE VEIN AND LASER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 2008; 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.