DR. MARTIN ENGWALL SHELINE (NPI# 1982638466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982638466 |
| Entity Type | Individual |
| Full Name | DR. MARTIN ENGWALL SHELINE |
| Credential | MD |
| Practice Address |
527 N. Palo Alto Ave Panama City FL 32401-3639 |
| Mailing Address |
P.o. Box 1770 Panama City FL 32402-1770 |
| Practice Telephone | 8507474905 |
| Practice Fax Number | 8507474907 |
| Mailing Telephone | 8507474905 |
| Mailing Fax Number | 8507474907 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME109093 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME109093 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
34710 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003672200 | 05 | |
| FL | BCBS | 14E53 | 01 |
| Street Address |
527 N. PALO ALTO AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-3639 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104851120 | Julie M Miller | Radiology | 330 W 23rd St, Panama City, FL 32405-7614 | 2006-07-11 |
| 1841226461 | Ibrahim Arafa Elkomy | Radiology | 1304 Harrison Ave, Panama City, FL 32401-2435 | 2006-06-24 |
| 1225096936 | Florida Diagnostic Imaging Center Inc | Radiology | 2525 Martin Luther King Jr. Blvd, Panama City, FL 32405-4414 | 2006-05-02 |
| 1538136395 | Bay Radiology Associates, Pl | Radiology | 527 N. Palo Alto Ave., Panama City, FL 32401-3639 | 2006-03-01 |
| 1669458246 | Chun Wen Chen | Radiology | 527 N Palo Alto Ave, Panama City, FL 32401-3639 | 2005-12-15 |
| 1942511456 | Amanda Beth Johnson | Radiology | 527 N Palo Alto Ave, Panama City, FL 32401 | 2010-06-30 |
| 1720238769 | Bay Radiology Womens Imaging Center, LLC | Radiology | 330 W. 23rd St., Panama City, FL 32405-7614 | 2008-09-26 |
| 1104087105 | Bettina Anne-margaret Gaycken | Radiology | 527 N Palo Alto Ave, Panama City, FL 32401-3639 | 2008-06-23 |
| 1669630216 | Kunal Pankaj Jani | Radiology | 527 N Palo Alto Ave, Panama City, FL 32401-3639 | 2008-05-30 |
| 1558537514 | Bay Radiology Womens Imaging Center LLC | Radiology | 330 W. 23rd St., Panama City, FL 32405-7614 | 2008-04-30 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on DR. MARTIN ENGWALL SHELINE.
| 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.