Organization Active NPI

Neuropathy Relief Center of Panama City LLC

  • Clinic/Center
  • Panama City, FL
National Provider Identifier
1699116079
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEUROPATHY RELIEF CENTER OF PANAMA CITY LLC
Practice address
826 Harrison Ave
Suite C
Panama City, FL 32401-2526
Phone
(850) 215-2671
Fax
(850) 215-2691
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Michael Madewell
Title
Owner
Phone
(850) 890-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

826 Harrison Ave
Suite C
Panama City, FL 32401-2526

Mailing address

826 Harrison Ave
Suite C
Panama City, FL 32401-2526
Phone (850) 215-2671

Other identifiers 1

IdentifierTypeStateIssuer
HN056AOtherFLMEDICARE PTAN (PROVIDER TRANSACTION NUMBER)

National Provider Directory

National Provider Directory

Locations

826 Harrison Ave
#C
Panama City, FL 32401
Phone (850) 215-2671

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1699116079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 HARRISON AVE",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012526",
            "telephone_number": "850-215-2671",
            "fax_number": "850-215-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 HARRISON AVE",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012526",
            "telephone_number": "850-215-2671",
            "fax_number": "850-215-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY RELIEF CENTER OF PANAMA CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MADEWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-890-1407"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (PROVIDER TRANSACTION NUMBER)",
            "identifier": "HN056A",
            "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 Sep 30, 2013; 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.