Organization Active NPI

American Gastroenterology Associates PA

  • Gastroenterology Physician
  • Panama City, FL
National Provider Identifier
1700806205
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME59546 Issued in FL
Legal business name
AMERICAN GASTROENTEROLOGY ASSOCIATES PA
Practice address
2407 Ruth Hentz Ave
Panama City, FL 32405-2259
Phone
(850) 522-4848
Fax
(850) 522-4849
NPI assigned
Jul 20, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Eugene Evans, M.D.NPI 1366402513
Title
President
Phone
(850) 522-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME59546 FL Primary

Addresses

Primary practice location

2407 Ruth Hentz Ave
Panama City, FL 32405-2259

Mailing address

PO Box 15188
Panama City, FL 32406-5188
Phone (850) 522-4848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1700806205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15188",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065188",
            "telephone_number": "850-522-4848",
            "fax_number": "850-522-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 RUTH HENTZ AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052259",
            "telephone_number": "850-522-4848",
            "fax_number": "850-522-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN GASTROENTEROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-522-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME59546",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2010; 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.