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BAY ARTHRITIS INSTITUTE NPI 1073935540


NPI Information

NPI: 1073935540
Provider Name: BAY ARTHRITIS INSTITUTE
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 10D2130999

Address:
2401 STATE AVE STE 100
PANAMA CITY, FL
ZIP 32405
Phone: (850) 215-3062
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BAY ARTHRITIS INSTITUTE is a rheumatology internal medicine in Panama City, FL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. BAY ARTHRITIS INSTITUTE NPI is 1073935540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2401 STATE AVE STE 100
PANAMA CITY, FL
ZIP 32405-942
Phone: (850) 215-3062
Fax: (850) 215-3024

The provider's authorized official is Adele Mclennon .
The authorized official title is Administration/ Head Biller and has the following contact phone number (850) 215-3062.

The CLIA number assigned to this NPI record is 10D2130999 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2014 and was last updated on 12/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyME106424FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020424800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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