Gulf Coast Medical Doctors

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

ME90177 Issued in FL

Legal business name

GULF COAST MEDICAL DOCTORS

Practice address

109 W 23Rd St
Suite N5
Panama City, FL 32405-7610

Phone

(850) 769-1566

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ayman Aboulela, MDNPI 1659332278

Title

Owner

Phone

(850) 769-1566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayman Taha Aboulela, M.D.

  • General Practice Physician
  • Panama City, FL
  • NPI 1659332278
  Medicare reassignment Care Compare group NPD Authorized official
• Monica Davila, ARNP

  • Nurse Practitioner
  • Panama City, FL
  • NPI 1336599356
  Medicare reassignment Care Compare group NPD
• Heather S Zawahry, M.D.

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1902867567
  Medicare reassignment Care Compare group NPD
• Krista Sloane Brown, APRN

  • Family Nurse Practitioner
  • Lynn Haven, FL
  • NPI 1487261566
  Medicare reassignment NPD

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1700312824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15834",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065834",
            "telephone_number": "850-769-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 23RD ST",
            "address_2": "SUITE N5",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057610",
            "telephone_number": "850-769-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MEDICAL DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "ABOULELA",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-769-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "FL",
            "license": "ME90177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Hearing LLC (Gulf Coast Hearing Centers)
• Gulf Coast Heart and Vascular LLC
• Gulf Coast Holistic and Primary Care Inc
• Gulf Coast Medical and Geriatric Clinic Inc
• Gulf Coast Medical Center Primary Care LLC
• Gulf Coast Multispeciality Services, LLC
• Gulf Coast Pain Consultants LLC (Clearway Pain Solutions Institute)
• Gulf Coast Pest Control, Inc
• Gulf Coast Podiatry, PA
• Gulf Coast Rehabilitation Center Inc

• Prevention Professional in Panama City, FL
• Providers in Panama City, FL by specialty
• Prevention Professional in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.