Organization Active NPI

Susan Culverhouse, MD PA

  • Medical Specialty Clinic/Center
  • Panama City, FL
National Provider Identifier
1952825259
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME106708 Issued in FL
Legal business name
SUSAN CULVERHOUSE, MD PA
Practice address
801 E 6TH St Ste 201
Panama City, FL 32401-3667
Phone
(850) 763-8680
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Susan Howard Culverhouse, MD
Title
MD / President
Phone
(813) 784-3746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME106708 FL Primary

Addresses

Primary practice location

801 E 6TH St Ste 201
Panama City, FL 32401-3667

Mailing address

707 E Cervantes St, Suite B #298
Pensacola, FL 32501
Phone (407) 272-4232

Other identifiers 1

IdentifierTypeStateIssuer
009329900MedicaidFL

National Provider Directory

National Provider Directory

Locations

801 E 6th St
Ste 201
Panama City, FL 32401
Phone (850) 763-8680

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1952825259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E CERVANTES ST, SUITE B #298",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "407-272-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST STE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013667",
            "telephone_number": "850-763-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN CULVERHOUSE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "CULVERHOUSE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "MD / PRESIDENT",
        "authorized_official_telephone_number": "813-784-3746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME106708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009329900",
            "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, 2017; 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.