Active NPI
Mustafa A Hammad, M.D.,
- Interventional Pain Medicine Physician
- Panama City, FL
National Provider Identifier
1912967142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME93997
- Practice address
- 1931 Martin Luther King Jr Blvd
Panama City, FL 32405-5314 - Phone
- (850) 215-7093
- Fax
- (850) 215-7096
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | ME93997 | FL | |
| Neurology Physician | 2084N0400X | ME93997 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME93997 | FL | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | ME93997 | FL |
Addresses
Primary practice location
1931 Martin Luther King Jr Blvd
Panama City, FL 32405-5314
Mailing address
1931 Martin Luther King Jr Blvd
Panama City, FL 32405-5314
Phone (850) 215-7093
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29436 | Other | FL | BCBS OF FLORIDA |
| P00686249 | Other | FL | RAILROAD MEDICARE PALMETTO GBA |
| 273535100 | Medicaid | FL | |
| 273534200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93997 | FL | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain and Spine LLC | Neurology | Past | Accepting new patients |
Interoperability endpoints
- mhammad@662.securemail.prognocis.com
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000070
Organizations & group practices 1
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.
-
- Neurology Physician
- Panama City, FL
- NPI 1942317896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1912967142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 MARTIN LUTHER KING JR BLVD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055314",
"telephone_number": "850-215-7093",
"fax_number": "850-215-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 MARTIN LUTHER KING JR BLVD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055314",
"telephone_number": "850-215-7093",
"fax_number": "850-215-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMAD",
"first_name": "MUSTAFA",
"middle_name": "A",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "FL",
"license": "ME93997",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME93997",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME93997",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "FL",
"license": "ME93997",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "29436",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PALMETTO GBA",
"identifier": "P00686249",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273535100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273534200",
"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 Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.