Provider Type Icon

CALLAWAY CLINIC L L C NPI 1659577690


NPI Information

NPI: 1659577690
Provider Name: CALLAWAY CLINIC L L C
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D1105394

Address:
489 N TYNDALL PKWY
PANAMA CITY, FL
ZIP 32404
Phone: (850) 769-2803
Get Directions

CALLAWAY CLINIC L L C is an internal medicine in Panama City, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CALLAWAY CLINIC L L C NPI is 1659577690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

489 N TYNDALL PKWY
PANAMA CITY, FL
ZIP 32404-126
Phone: (850) 769-2803
Fax: (850) 913-8046

The provider's authorized official is Ketan A Patel .
The authorized official title is Owner and has the following contact phone number (850) 769-2803.

The CLIA number assigned to this NPI record is 10D1105394 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 6/5/2008.


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
1207Q00000XFamily MedicineNo
2363L00000XNurse PractitionerNo
3207R00000XInternal MedicineYes

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
1K3428MEDICARE PINFLORIDA
2K3368MEDICARE PINFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.