Organization Active NPI

Callaway Health Services, Inc.

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1972790764
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CALLAWAY HEALTH SERVICES, INC.
Practice address
2507 Harrison Ave
Suite 200
Panama City, FL 32405-4424
Phone
(850) 215-8035
Fax
(850) 215-8036
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Dr. Ketan A Patel, MD
Title
Owner
Phone
(850) 215-8035

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2507 Harrison Ave
Suite 200
Panama City, FL 32405-4424

Mailing address

2507 Harrison Ave
Suite 200
Panama City, FL 32405-4424
Phone (850) 215-8035

National Provider Directory

National Provider Directory

Locations

2507 Harrison Ave
Unit 200
Panama City, FL 32405
Phone (850) 215-8035

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1972790764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 HARRISON AVE",
            "address_2": "SUITE 200",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054424",
            "telephone_number": "850-215-8035",
            "fax_number": "850-215-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 HARRISON AVE",
            "address_2": "SUITE 200",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054424",
            "telephone_number": "850-215-8035",
            "fax_number": "850-215-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-215-8035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 7, 2013; 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.