Active NPI
Andrew D McAllister, DO, PA
- Plastic Surgery Physician
- Panama City Beach, FL
National Provider Identifier
1720346760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- OS11474
- Legal business name
- ANDREW D MCALLISTER, DO, PA
- Practice address
- 120 Richard Jackson Blvd
Suite 140
Panama City Beach, FL 32407 - Phone
- (850) 233-7674
- Fax
- (850) 233-3293
- NPI assigned
- Apr 27, 2012
- 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
- Raun D Skyrm
- Title
- Administrator
- Phone
- (330) 773-3544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | OS11474 | FL | Primary |
Addresses
Primary practice location
120 Richard Jackson Blvd
Suite 140
Panama City Beach, FL 32407
Mailing address
120 Richard Jackson Blvd
Suite 140
Panama City Beach, FL 32407
Phone (850) 233-7674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
600 Grand Panama Blvd
Ste 101B
Panama City Beach, FL 32407
Phone (850) 233-7674
600 Grand Panama Blvd
Panama City Beach, FL 32407
Phone (233) 767-4850
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Panama City Beach, FL
- NPI 1740449719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358985600000",
"number": "1720346760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 RICHARD JACKSON BLVD",
"address_2": "SUITE 140",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "32407",
"telephone_number": "850-233-7674",
"fax_number": "850-233-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 RICHARD JACKSON BLVD",
"address_2": "SUITE 140",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "32407",
"telephone_number": "850-233-7674",
"fax_number": "850-233-3293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW D MCALLISTER, DO, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-27",
"last_updated": "2013-01-24",
"status": "A",
"authorized_official_last_name": "SKYRM",
"authorized_official_first_name": "RAUN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "330-773-3544"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "FL",
"license": "OS11474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.