Panama Interventional Pain Management, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME100633 Issued in FL

Legal business name

PANAMA INTERVENTIONAL PAIN MANAGEMENT, LLC

Practice address

651 Grand Panama Blvd
Ste 106
Panama City Beach, FL 32407-3458

Phone

(850) 588-6850

Fax

(850) 588-6876

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Margaret I Thirston, MD

Title

Owner

Phone

(850) 588-6850

Specialties & licenses 1

Addresses

Other names 1

• Dr. Margaret I. Thirston Other name

Locations

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1952770331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 GRAND PANAMA BLVD",
            "address_2": "STE 106",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073458",
            "telephone_number": "850-588-6850",
            "fax_number": "850-588-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 GRAND PANAMA BLVD",
            "address_2": "STE 106",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073458",
            "telephone_number": "850-588-6850",
            "fax_number": "850-588-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "THIRSTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-588-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME100633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Margaret I. Thirston",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.