Gulf Coast Medical and Geriatric Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME83788 Issued in FL

Legal business name

GULF COAST MEDICAL AND GERIATRIC CLINIC INC

Practice address

237 E Baldwin Rd Ste 102
Panama City, FL 32405-4463

Phone

(850) 522-0182

Fax

(850) 522-0184

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Liaqat Hayat, MDNPI 1326141920

Title

Director

Phone

(850) 522-0182

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liaqat Hayat, MD

  • General Practice Physician
  • Panama City, FL
  • NPI 1326141920
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1831262229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1317",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446117",
            "telephone_number": "850-522-0182",
            "fax_number": "850-522-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E BALDWIN RD STE 102",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054463",
            "telephone_number": "850-522-0182",
            "fax_number": "850-522-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MEDICAL AND GERIATRIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HAYAT",
        "authorized_official_first_name": "LIAQAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-522-0182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Health Care Associates LLC
• Gulf Coast Hearing Centers, Inc.
• Gulf Coast Hearing LLC
• Gulf Coast Heart and Vascular LLC
• Gulf Coast Holistic and Primary Care Inc
• Gulf Coast Medical Center Primary Care LLC
• Gulf Coast Medical Doctors
• Gulf Coast Multispeciality Services, LLC
• Gulf Coast Pain Consultants LLC
• Gulf Coast Pest Control, Inc

• Internal Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.