Optimum Primary Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 99885 Issued in FL

Legal business name

OPTIMUM PRIMARY CARE, LLC

Practice address

750 Harrison Ave
Panama City, FL 32401-2524

Phone

(850) 215-4540

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Wael Farid, M.D.

Title

Physician

Phone

(201) 757-9526

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Kristy Ann Golden, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Lutherville, MD
  • NPI 1154616431
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1902049034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16528",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324066528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-215-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "FARID",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-757-9526",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 99885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29925",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280906100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Oliver
• Shantel M Olson, APRN, CNM
• Terri E. Oman, RN
• On-Site Medical Providers
• Christopher Oneisom, LMT, RCA
• Oral Surgery & Dental Implant Center of Panama City, PLLC
• Ordonez & Dolar Medical Group LLC
• Michelli Ordoyne
• Rosaleny Orie, DDS
• Ortega Pulmonary Associates PA

• 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 Sep 17, 2009; 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.