Organization Active NPI

Phillip H Nunnery MD PA

  • Plastic Surgery Physician
  • Panama City, FL
National Provider Identifier
1942561204
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME36299 Issued in FL
Legal business name
PHILLIP H NUNNERY MD PA
Practice address
1936 Jenks Avenue
Panama City, FL 32405
Phone
(850) 763-5959
Fax
(850) 785-0574
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mrs. Brenda B Nunnery
Title
Office Manager
Phone
(850) 763-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME36299 FL Primary

Addresses

Primary practice location

1936 Jenks Avenue
Panama City, FL 32405

Mailing address

1936 Jenks Avenue
Panama City, FL 32405
Phone (850) 763-5959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1942561204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 JENKS AVENUE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-763-5959",
            "fax_number": "850-785-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 JENKS AVENUE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-763-5959",
            "fax_number": "850-785-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP H NUNNERY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "NUNNERY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-763-5959",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME36299",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 27, 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.

Verify at the official NPI Registry.