MR. COREY J SEYMOUR (NPI# 1760695431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760695431 |
| Entity Type | Individual |
| Full Name | MR. COREY J SEYMOUR |
| Credential | IDC |
| Practice Address |
4837 Mccall Ln Panama City FL 32404 |
| Practice Telephone | 8502303271 |
| Practice Fax Number | 8502303133 |
| Mailing Telephone | 8502303271 |
| Mailing Fax Number | 8502303133 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
CA | Other Service Providers |
| Street Address |
4837 MCCALL LN |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| 1265453575 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 3621 Us Hwy 231 N, Panama City, FL 32404 | 2006-07-21 |
| Find all providers in zip 32404 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1952555922 | William David Larson | Military Health Care Provider | 350 South Crag Rd., Panama City, FL 32407-7013 | 2008-11-04 |
| 1437562113 | John Campbell | Military Health Care Provider | 350 Crag Rd, Panama City, FL 32407-7013 | 2014-06-10 |
| 1295072114 | Angelo Luis Sanchez Jr. | Military Health Care Provider | 350 Crag Rd, Panama City, FL 32407-7013 | 2013-01-11 |
| 1053689752 | Michael S Hamman | Military Health Care Provider | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2011-12-08 |
| 1215232608 | Garth Robert Alan Sinclair | Military Health Care Provider | 350 Crag Rd, Panama City, FL 32407-7013 | 2011-01-18 |
| 1336342591 | Michael Jesse Lewis | Military Health Care Provider | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2007-06-06 |
| 1215130414 | James Thomas Brawley | Military Health Care Provider | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1831729821 | Michael O'connell | Military Health Care Provider | 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 | 2020-01-19 |
| 1043863079 | Jenny Lee Mahoney | Military Health Care Provider | 55281 Yellow Jacket Dr, Callahan, FL 32011-8534 | 2019-07-18 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1992230429 | George Williams Osorio | Military Health Care Provider | 1734 Forest Lakes Cir Apt D, West Palm Beach, FL 33406-5773 | 2017-04-21 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1619420536 | Justin Allan Willis | Military Health Care Provider | 8353 Iris Ave, Seminole, FL 33777-3643 | 2016-07-27 |
| 1720531635 | Julian Vincent | Military Health Care Provider | 3861 Aubrey Ln, Orange Park, FL 32065-8224 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32404 |
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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.