Mahan Medical Walk in

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME7902 Issued in FL

Legal business name

MAHAN MEDICAL WALK IN

Practice address

1705 E Manan Drive
Tallahassee, FL 32308

Phone

(850) 877-7164

Fax

(850) 656-1391

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

Wilton R Kane, MD

Title

Owner/MD

Phone

(850) 877-7164

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilton R Kane MD Doing business as

Locations

Practitioners 1

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

• Mel Charles Hartsfield, M.D., J.D.

  • General Practice Physician
  • Monticello, FL
  • NPI 1487891552
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891765947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E MANAN DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-877-7164",
            "fax_number": "850-656-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E MANAN DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-877-7164",
            "fax_number": "850-656-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAN MEDICAL WALK IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "WILTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "850-877-7164",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME7902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "99391",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilton R Kane MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Pediatrics Group LLC
• Magnolia Pediatrics Group, LLC
• Magnolia Wellness Center, LLC
• Amy Foster Magnuson, PHD
• Mahan Medical
• Bailey Mahan
• Sujatha Mahesh
• Carl F. Mahler, M.S.
• John P. Mahoney, M.D.
• Harry T Mai, M.D.

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.