BRANDON TRAGESER (NPI# 1699060160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699060160 |
| Entity Type | Individual |
| Full Name | BRANDON TRAGESER |
| Credential | PA |
| Practice Address |
4121 W Highway 98 Panama City FL 32401-1170 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8509147060 |
| Practice Fax Number | 8509147065 |
| Mailing Telephone | 8504754686 |
| Mailing Fax Number | 8504754619 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9105986 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PAT9105986 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021361300 | 05 |
| Street Address |
4121 W HIGHWAY 98 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-1170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881613784 | John Christian England | Clinic/Center | 4121 W Highway 98, Panama City, FL 32401-1170 | 2006-07-19 |
| 1861804304 | Sean P Moroze | Orthopaedic Surgery | 4121 W Highway 98, Panama City, FL 32401-1170 | 2014-06-02 |
| 1609119338 | Travis John Dekker | Orthopaedic Surgery | 4121 W Highway 98, Panama City, FL 32401-1170 | 2013-04-01 |
| 1083963359 | Stacy Lynn Kehl | Nurse Practitioner | 4121 W Highway 98, Panama City, FL 32401-1170 | 2012-09-02 |
| 1134495666 | Ian P Goodman | Orthopaedic Surgery | 4121 W Highway 98, Panama City, FL 32401-1170 | 2012-03-29 |
| 1659609063 | Heidi Goodwiller Barr | Physician Assistant | 4121 W Highway 98, Panama City, FL 32401-1170 | 2009-11-23 |
| 1386835577 | Benjamin James Turnbow | Orthopaedic Surgery | 4121 W Highway 98, Panama City, FL 32401-1170 | 2007-08-05 |
| 1669513032 | Robin M. Fisher | Nurse Practitioner | 4121 W Highway 98, Panama City, FL 32401-1170 | 2007-02-09 |
| 1982704938 | Seawind Medical Clinic LLC | Family Medicine | 4121 W Highway 98, Panama City, FL 32401-1170 | 2006-09-22 |
| 1760592695 | Isaac L Mitchell | Orthopaedic Surgery | 4121 W Highway 98, Panama City, FL 32401-1170 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986701 | Ashley Michael Ingram | Physician Assistant | 3105 Island View Cir, Panama City, FL 32405-2145 | 2019-05-08 |
| 1639675853 | Maria Calliope Patronis | Physician Assistant | 7935 N Lagoon Dr, Panama City, FL 32408-5261 | 2018-04-05 |
| 1790999423 | Virginia K Pullen | Physician Assistant | 2306 Hwy 77, Panama City, FL 32405-4404 | 2007-05-10 |
| 1104925718 | Jennifer L Wit | Physician Assistant | 1514 W 23rd St, Panama City, FL 32405-2905 | 2006-09-21 |
| 1164453965 | Rebecca Lynn Gicewicz | Physician Assistant | 402 W 19th St, Panama City, FL 32405-4602 | 2006-07-06 |
| 1376510560 | Charles Alan Byron | Physician Assistant | 1900 Harrison Rd, Panama City, FL 32405 | 2006-03-07 |
| 1225024680 | Sheldon J Roberts | Physician Assistant | 509 E 23rd St, Panama City, FL 32405-5307 | 2005-09-21 |
| 1043822257 | Jenna R Hurley | Physician Assistant | 80 Doctors Dr, Panama City, FL 32405-4517 | 2020-08-19 |
| 1841757325 | Mckenna Paige Davis | Physician Assistant | 528 W Baldwin Rd, Panama City, FL 32405-3313 | 2019-02-21 |
| 1922571066 | Jonathan Almand | Physician Assistant | 2309 E 15th St, Panama City, FL 32405-6345 | 2019-01-10 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
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| 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.