NPIMap

Organization Active NPI

Florida Panhandle Pediatric Foundation, Inc.

  • Primary Care Clinic/Center
  • Panama City, FL
National Provider Identifier
1962478230
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FLORIDA PANHANDLE PEDIATRIC FOUNDATION, INC.
Practice address
2814 W 15TH St
Panama City, FL 32401-1376
Phone
(850) 872-4840
Fax
(850) 872-4468
NPI assigned
Feb 27, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Ms. Patti A. Welch, R.N.-BSNNPI 1780636001
Title
Project Administrator
Phone
(850) 872-4840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2814 W 15TH St
Panama City, FL 32401-1376

Mailing address

2814 W 15TH St
Panama City, FL 32401-1376
Phone (850) 872-4840

Other identifiers 2

IdentifierTypeStateIssuer
371185400MedicaidFL
371185401MedicaidFL

National Provider Directory

National Provider Directory

Locations

2814 W 15th St
Panama City, FL 32401
Phone (850) 872-4840

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1962478230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 W 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011376",
            "telephone_number": "850-872-4840",
            "fax_number": "850-872-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 W 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011376",
            "telephone_number": "850-872-4840",
            "fax_number": "850-872-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PANHANDLE PEDIATRIC FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROJECT ADMINISTRATOR",
        "authorized_official_telephone_number": "850-872-4840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N.-BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371185400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371185401",
            "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 Mar 12, 2009; 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.