GEORGE G TRACY MD LLC (NPI# 1982049995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982049995 |
| Entity Type | Organization |
| Organization Name | GEORGE G TRACY MD LLC |
| Practice Address |
2401 Stanford Rd Apt 224 Panama City FL 32405-3573 |
| Practice Telephone | 8507476950 |
| Practice Fax Number | 8507476208 |
| Mailing Telephone | 8507476950 |
| Mailing Fax Number | 8507476208 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | DR. GEORGE G TRACY (OWNER) |
| Authorized Official Telephone | 8507476950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME45073 | FL | Allopathic & Osteopathic Physicians |
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
ME45073 | FL | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
ME45073 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2401 STANFORD RD APT 224 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-3573 |
| 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 | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730242868 | Patrick Joseph Hennessey | Preventive Medicine | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2006-12-19 |
| 1780869610 | Mark Francis Moran | Preventive Medicine | 615 N Bonita Ave, Bay Medical Center--hyperbaric Center, Panama City, FL 32401-3623 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659259 | Hyperbaric Associates of South Florida LLC | Preventive Medicine | 2866 E Oakland Park Blvd Ste 100, Ft Lauderdale, FL 33306-1815 | 2019-09-27 |
| 1780081034 | Hypermed, LLC | Preventive Medicine | 11501 Hutchison Blvd, Suite 109, Panama City Beach, FL 32407-3746 | 2014-12-02 |
| 1447536305 | Eliot Slater | Preventive Medicine | 2866 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1814 | 2011-10-24 |
| 1386958114 | Arnold H. Bierman | Preventive Medicine | 6200 Lee Vista Blvd, Suite 250, Orlando, FL 32822-5147 | 2010-08-04 |
| 1609015544 | Brianne Luisa Peterson | Preventive Medicine | 5220 Belfort Rd Ste 130, Jacksonville, FL 32256-6018 | 2009-02-17 |
| 1548435969 | Richard Fontanez Aldea | Preventive Medicine | 809 Cr 466, C-201, Lady Lake, FL 32159 | 2008-04-27 |
| 1629120373 | Paul W. Buza | Preventive Medicine | 1698 W. Hibiscus Blvd., Brevard Regional Hyperbaric Center, Melbourne, FL 32901 | 2007-01-16 |
| 1235148743 | Allan M Spiegel | Preventive Medicine | 31608 Us 19 North, Palm Harbor, FL 34684 | 2006-08-05 |
| 1902833569 | Lenka Zachar | Preventive Medicine | 3 Shircliff Way Ste 520, Jacksonville, FL 32204-4777 | 2006-06-27 |
| 1366407439 | Bradley William Hickey | Preventive Medicine | Naval Operational Medicine Institute, 220 Hovey Rd, Pensacola, FL 32508-1047 | 2006-04-20 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on GEORGE G TRACY MD LLC.
| 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.