ROSLYN V MALLORY (NPI# 1871771410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871771410 |
| Entity Type | Individual |
| Full Name | ROSLYN V MALLORY |
| Credential | MD |
| Practice Address |
70 Doctors Dr Panama City FL 32405-4517 |
| Practice Telephone | 8507851517 |
| Practice Fax Number | 8507841271 |
| Mailing Telephone | 8507851517 |
| Mailing Fax Number | 8507841271 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME107856 | FL | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME107856 | FL | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
ME107856 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002800000 | 05 | |
| FL | BCBS | 149F4 | 01 |
| Street Address |
70 DOCTORS DR |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130022 | Stephen Gregory Smith | Obstetrics & Gynecology | 70 Doctors Dr, Panama City, FL 32405-4517 | 2005-08-03 |
| 1225417678 | Katie Marie Webb | Obstetrics & Gynecology | 70 Doctors Dr, Panama City, FL 32405-4517 | 2015-05-19 |
| 1144663758 | Charlie N Kelly | Nurse Practitioner | 70 Doctors Dr, Panama City, FL 32405-4517 | 2013-04-12 |
| 1356374250 | Pamela R Sasser | Specialist | 70 Doctors Dr, Panama City, FL 32405-4517 | 2006-07-07 |
| 1619900560 | All About Women, Ob-gyn, Chtd | Obstetrics & Gynecology | 70 Doctors Dr, Panama City, FL 32405-4517 | 2006-07-07 |
| 1154322527 | Tricia Marie Percy | Obstetrics & Gynecology | 70 Doctors Dr, Panama City, FL 32405-4517 | 2005-08-09 |
| 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 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023168671 | Coastal Ob Gyn Pa | Obstetrics & Gynecology | 600 N Cove Blvd, Panama City, FL 32401-3628 | 2007-01-12 |
| 1790774420 | Justo Maqueira Jr. | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2005-10-15 |
| 1285620062 | Gregory K. Morrow | Obstetrics & Gynecology | 1007 Jenks Ave, Panama City, FL 32401-2474 | 2005-09-27 |
| 1235130022 | Stephen Gregory Smith | Obstetrics & Gynecology | 70 Doctors Dr, Panama City, FL 32405-4517 | 2005-08-03 |
| 1154783157 | Jacob Andrew Martin | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2016-03-28 |
| 1225417678 | Katie Marie Webb | Obstetrics & Gynecology | 70 Doctors Dr, Panama City, FL 32405-4517 | 2015-05-19 |
| 1205220407 | Surgical Assistants of Nw Florida, LLC | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2015-03-25 |
| 1902219199 | Perinatal Support Associates LLC | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2014-06-05 |
| 1578991212 | North Florida Perinatal Associates, Inc | Obstetrics & Gynecology | 2202 State Ave, Suite 103, Panama City, FL 32405-4590 | 2013-10-16 |
| 1427364405 | Emerald Coast Obstetrics & Gynecology, P.a. | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2010-08-27 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.