Bay Podiatry Center, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BAY PODIATRY CENTER, PA

Practice address

2430 Jenks Ave
Panama City, FL 32405-4304

Phone

(850) 763-7244

Fax

(850) 763-0157

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fred E Gaither, DPM

Title

Owner

Phone

(850) 763-7244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699711176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054304",
            "telephone_number": "850-763-7244",
            "fax_number": "850-763-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054304",
            "telephone_number": "850-763-7244",
            "fax_number": "850-763-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PODIATRY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAITHER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-763-7244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bay Walk in Clinic, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.