NPIMap

Individual provider Active NPI

Heather S Zawahry, M.D.

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1902867567
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0084800 Issued in FL
Practice address
2101 Northside Dr Unit 501
Panama City, FL 32405-3687
Phone
(850) 785-3464
Fax
(850) 785-2791
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0084800 FL Primary

Addresses

Primary practice location

2101 Northside Dr Unit 501
Panama City, FL 32405-3687

Mailing address

PO Box 1280
Panama City, FL 32402-1280
Phone (850) 785-3464

Other identifiers 2

IdentifierTypeStateIssuer
267798900MedicaidFL
81116OtherFLBCBS FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000215 FL Practitioner - Family Practice 6103724067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast Medical DoctorsGroup PAC ID 8921360660, 3 clinicians

Practice addresses (Care Compare)

109 W 23Rd St
Suite N5
Panama City, FL 32405-7611
Phone (850) 769-1566

Hospital & facility affiliations

  • Tender Touch Health Care Services Home health agency, Panama City, FL, CCN 107791
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0084800FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Medical Doctors CurrentSince Apr 1, 2021 Accepting new patients
Bay Hospital, Inc. Past Accepting new patients

Locations

109 W 23rd St
Ste N5
Panama City, FL 32405
Phone (850) 769-1566

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1902867567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324021280",
            "telephone_number": "850-785-3464",
            "fax_number": "850-785-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR UNIT 501",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053687",
            "telephone_number": "850-785-3464",
            "fax_number": "850-785-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWAHRY",
        "first_name": "HEATHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0084800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267798900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "81116",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.