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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- ME43574
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | ME43574 | FL | Primary |
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0704755 | Other | FL | UNITED HEALTHCARE |
| 03614 | Other | FL | BLUE CROSS BLUE SHIELD |
| 4278623 | Other | FL | AETNA |
Other names 1
- THE VEIN AND LASER CENTER
National Provider Directory
National Provider DirectoryLocations
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.