DR. MARIUSZ JERZY KLIN


Address: 2202 State Ave, Suite 301, Panama City, FL 32405-7601
Phone: 8502157071

DR. MARIUSZ JERZY KLIN (NPI# 1457357006) 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) 1457357006
Entity Type Individual
Full Name DR. MARIUSZ JERZY KLIN
Credential MD, PHD
Practice Address 2202 State Ave
Suite 301
Panama City
FL 32405-7601
Mailing Address Po Box 452
Lynn Haven
FL 32444-0452
Practice Telephone 8502157071
Practice Fax Number 8502157073
Mailing Telephone 8502157071
Mailing Fax Number 8502157073
Enumeration Date 2005-06-27
Last Update Date 2008-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
A63234 CA Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
ME85851 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 265270600 05
FL BLUE CROSS BLUE SHIELD FL 51542 01

Office Location

Street Address 2202 STATE AVE
SUITE 301
City PANAMA CITY
State FL
Zip Code 32405-7601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750822797 Ashley Leb Nurse Practitioner 2202 State Ave, Suite 303, Panama City, FL 32405-7601 2017-03-09
1184173338 Panhandle Surgical Services Surgery 2202 State Ave, Ste 104, Panama City, FL 32405-7601 2016-09-29
1578991212 North Florida Perinatal Associates, Inc Obstetrics & Gynecology 2202 State Ave, Suite 103, Panama City, FL 32405-4590 2013-10-16
1861765943 George J Walters Dds Pa Oral & Maxillofacial Surgery 2202 State Ave, Suite 200, Panama City, FL 32405-7601 2012-02-20
1295023802 Charnett Carroll Nurse Practitioner 2202 State Ave, Suite 201, Panama City, FL 32405-7601 2011-07-16
1619261252 Khurram Nazir Psychiatry & Neurology 2202 State Ave, Suite 201, Panama City, FL 32405-7601 2011-05-31
1528213394 John Beasley Thomas Iv Emergency Medicine 2202 State Ave, Suite 104, Panama City, FL 32405-7601 2008-11-20
1508021684 Mariusz J Klin M D P A Internal Medicine 2202 State Ave, Suite 301, Panama City, FL 32405-7601 2008-07-28
1154528693 Don Allen Davis Internal Medicine 2202 State Ave, Suite 303, Panama City, FL 32405-7601 2007-06-28
1194927889 George J Walters Dds Pa Dentist 2202 State Ave, Suite 200, Panama City, FL 32405-7601 2007-06-04
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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
1063991917 Patricia Kagendo Mutunga Day Training, Developmentally Disabled Services 2813 Fairmont Dr, Panama City, FL 32405 2018-08-11
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 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366402513 Eugene Evans Internal Medicine 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 2006-03-23
1285618454 Christopher D Wells Internal Medicine 204 E 19th St, Panama City, FL 32405-4707 2005-12-01
1508021684 Mariusz J Klin M D P A Internal Medicine 2202 State Ave, Suite 301, Panama City, FL 32405-7601 2008-07-28
1568483246 Maciej Tumiel Md Pa Internal Medicine 2101 Northside Dr, Unit 603, Panama City, FL 32405-3685 2006-07-21
1700806205 American Gastroenterology Associates Pa Internal Medicine 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 2006-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093321382 Charlotte Harbor Gastroenterology LLC Internal Medicine 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 2020-09-22
1750907614 Michael G. Valladares D.o. P.a. Internal Medicine 10302 Sw 116th St, Miami, FL 33176-4049 2020-06-17
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1750922399 Gastroenterology Care Specialists, LLC Internal Medicine 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 2019-10-04
1194375378 Digestive and Liver Disease Institute of Florida, LLC Internal Medicine 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 2019-09-18
1659833002 Steven L Diamond Internal Medicine 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 2019-04-04
1225507601 Linmec Corp Internal Medicine 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 2018-11-15
1912474156 Eileen E Kim Internal Medicine 5117 Fiorella Ln, Sanford, FL 32771-5449 2018-10-25
1790251197 Gabriel Benitez Internal Medicine 2330 Wilton Dr, Wilton Manors, FL 33305-1249 2018-10-23
1043786833 Union Medical Group Internal Medicine 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 2018-10-18
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Competitor

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City PANAMA CITY
Zip Code 32405

Improve Information

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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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