Active NPI
Hashem Mubarak
- Cardiovascular Disease Physician
- Panama City, FL
National Provider Identifier
1962697524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0046828
- Legal business name
- HASHEM MUBARAK
- Practice address
- 801 E 6TH St
Suite 602
Panama City, FL 32401-3661 - Phone
- (850) 769-1766
- Fax
- (850) 769-9794
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn S Alexander
- Title
- Manager
- Phone
- (850) 769-1766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME0046828 | FL | Primary |
Addresses
Primary practice location
801 E 6TH St
Suite 602
Panama City, FL 32401-3661
Mailing address
801 E 6TH St
Suite 602
Panama City, FL 32401-3661
Phone (850) 769-1766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K1186 | Other | FL | MEDICARE GROUP BILLING # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Panama City, FL
- NPI 1306867502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1962697524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 602",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-769-1766",
"fax_number": "850-769-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 602",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-769-1766",
"fax_number": "850-769-9794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASHEM MUBARAK",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "850-769-1766"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0046828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP BILLING #",
"identifier": "K1186",
"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 Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.