NPIMap

Organization Active NPI

Abdul-Rahim, Mohammed

Doing business as Sunshine Pediatrics

  • Pediatrics Physician
  • Panama City, FL
National Provider Identifier
1730570300
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
78574 Issued in FL
Legal business name
ABDUL-RAHIM, MOHAMMED
Doing business as
Sunshine Pediatrics
Practice address
340 W 23Rd St
Suite K
Panama City, FL 32405-7600
Phone
(850) 747-8787
NPI assigned
Feb 18, 2015
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mohammed Abdul-Rahim, M.D.NPI 1730275215
Title
Owner
Phone
(850) 747-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 78574 FL Primary

Addresses

Primary practice location

340 W 23Rd St
Suite K
Panama City, FL 32405-7600

Mailing address

340 W 23Rd St
Suite K
Panama City, FL 32405-7600
Phone (850) 747-8787

Other identifiers 4

IdentifierTypeStateIssuer
256892600MedicaidFL
47026OtherFLBLUE CROSS BLUE SHIELD
1975621OtherFLCIGNA
7907172OtherFLAETNA

Other names 1

  • SUNSHINE PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Locations

340 W 23rd St
Ste K
Panama City, FL 32405
Phone (850) 747-8787

Practitioners & affiliated clinicians

Practitioners 2

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": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1730570300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST",
            "address_2": "SUITE K",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057600",
            "telephone_number": "850-747-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST",
            "address_2": "SUITE K",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057600",
            "telephone_number": "850-747-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL-RAHIM, MOHAMMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ABDUL-RAHIM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-747-8787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "78574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256892600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47026",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1975621",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7907172",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2022; 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.