Organization Active NPI

Andrew D McAllister, DO, PA

  • Plastic Surgery Physician
  • Panama City Beach, FL
National Provider Identifier
1720346760
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
OS11474 Issued in FL
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

Updated by the provider on Jan 24, 2013

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20130122000199 FL Part B Supplier - Clinic/Group Practice 7810140084 Receives reassigned benefits from 2 practitioners
Practice locations: Panama City Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.