NPIMap

Organization Active NPI

White Sands Anesthesia & Pain Medicine Inc

  • Pain Medicine (Anesthesiology) Physician
  • Panama City, FL
National Provider Identifier
1730100488
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME36522 Issued in FL
Legal business name
WHITE SANDS ANESTHESIA & PAIN MEDICINE INC
Practice address
2338 State Ave
Panama City, FL 32405-4361
Phone
(850) 872-0303
Fax
(850) 872-0305
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Keith M Zwingelberg, M.D.
Title
President
Phone
(850) 872-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X ME36522 FL Primary

Addresses

Primary practice location

2338 State Ave
Panama City, FL 32405-4361

Mailing address

PO Box 1968
Panama City, FL 32402-1968
Phone (850) 872-0303

Other identifiers 1

IdentifierTypeStateIssuer
03579AOtherFLBCBS FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1730100488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1968",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324021968",
            "telephone_number": "850-872-0303",
            "fax_number": "850-872-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054361",
            "telephone_number": "850-872-0303",
            "fax_number": "850-872-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SANDS ANESTHESIA & PAIN MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "ZWINGELBERG",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-872-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME36522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "03579A",
            "state": "FL"
        }
    ],
    "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 Dec 5, 2012; 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.