DIGESTIVE DISEASES CENTER OF FLORIDA, PLLC


Address: 204 E 19th St, Panama City, FL 32405
Phone: 8507842105

DIGESTIVE DISEASES CENTER OF FLORIDA, PLLC (NPI# 1386968121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386968121
Entity Type Organization
Organization Name DIGESTIVE DISEASES CENTER OF FLORIDA, PLLC
Other Organization Name DIGESTIVE DISEASES CENTER PA
Practice Address 204 E 19th St
Panama City
FL 32405
Mailing Address 204 E 19th St
Panama City
FL 32405-4707
Practice Telephone 8507842105
Practice Fax Number 8505229453
Mailing Telephone 8507842105
Mailing Fax Number 8505229453
Enumeration Date 2010-03-23
Last Update Date 2018-08-14
Authorized Official Name DR. PALEP RAO (LABORATORY DIRECTOR)
Authorized Official Telephone 8507842105
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 800025728 FL Laboratories

Other Provider/Organization Names

Other Name Type Code
Digestive Diseases Center PA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548205651 Digestive Diseases Center of Florida, Pllc Specialist 204 E 19th St, Panama City, FL 32405 2006-06-20

Office Location

Street Address 204 E 19TH ST
City PANAMA CITY
State FL
Zip Code 32405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285618454 Christopher D Wells Internal Medicine 204 E 19th St, Panama City, FL 32405-4707 2005-12-01
1306456637 Tho H Kirkland Nurse Practitioner 204 E 19th St, Panama City, FL 32405-4707 2020-08-02
1396255410 Katie M Danielson Nurse Practitioner 204 E 19th St, Panama City, FL 32405-4707 2017-10-03
1134643836 Trevor Eugene Cook Nurse Practitioner 204 E 19th St, Panama City, FL 32405-4707 2017-08-03
1659720993 Yu Wang Physician Assistant 204 E 19th St, Panama City, FL 32405-4707 2016-06-07
1326165572 Matthew Simmons Physician Assistant 204 E 19th St, Panama City, FL 32405-4707 2007-03-23
1528192127 Thomas J Stewart Physician Assistant 204 E 19th St, Panama City, FL 32405-4707 2007-03-15
1467519116 Jack Dial Physician Assistant 204 E 19th St, Panama City, FL 32405-4707 2007-01-02
1083644389 Palep N Rao Specialist 204 E 19th St, Panama City, FL 32405-4707 2006-07-03
1295763753 Sudhakar Reddy Specialist 204 E 19th St, Panama City, FL 32405-4707 2006-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457962136 Kimberlea Fox Behavioral Analyst 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 2020-08-14
1598325714 Covenant Home Health Care, LLC Home Health 107 W. 19th Street, Panama City, FL 32405 2019-06-19
1467921403 Amy Hancock Counselor 1212 W. 19th St., Panama City, FL 32405 2018-11-20
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1871087882 Southeastern Dermatology Group Pa Pharmacy 2505 Harrison Ave Ste A, Panama City, FL 32405 2018-06-22
1346733615 Jessica Nicole Graham Nurse Practitioner 2507 Harrison Ave Unit 101, Panama City, FL 32405 2018-06-12
1437658424 Coastal Mobility Transportation, LLC Non-emergency Medical Transport (VAN) 203 Forest Park Circle, Panama City, FL 32405 2018-02-06
1003314915 The Anti-aging Clinic of Northwest Florida Obstetrics & Gynecology 3019 Osprey Cir, Panama City, FL 32405 2018-01-25
1255848487 Sarah Theriot Social Worker 700 W 23rd St Bldg H, Panama City, FL 32405 2018-01-09
1336686054 Angela Leake Registered Nurse 449 W 23 St, Panama City, FL 32405 2017-01-20
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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Competitor

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City PANAMA CITY
Zip Code 32405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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