Organization Active NPI

Forest Park Medical Associates

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1750480695
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FOREST PARK MEDICAL ASSOCIATES
Practice address
304 W 23Rd St
Panama City, FL 32405-4506
Phone
(850) 785-6141
Fax
(850) 763-0404
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Rush E Akin Sr., M.D.
Title
Physician/President
Phone
(850) 785-6141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

304 W 23Rd St
Panama City, FL 32405-4506

Mailing address

304 W 23Rd St
Panama City, FL 32405-4506
Phone (850) 785-6141

Other identifiers 1

IdentifierTypeStateIssuer
CK7893OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

304 W 23rd St
Panama City, FL 32405
Phone (850) 769-1462

304 W 23rd St
Ste A
Panama City, FL 32405

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1750480695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054506",
            "telephone_number": "850-785-6141",
            "fax_number": "850-763-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054506",
            "telephone_number": "850-785-6141",
            "fax_number": "850-763-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "AKIN",
        "authorized_official_first_name": "RUSH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "850-785-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK7893",
            "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 Oct 25, 2007; 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.