JAY CONRAD BEISWANGER (NPI# 1053306639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053306639 |
| Entity Type | Individual |
| Full Name | JAY CONRAD BEISWANGER |
| Credential | MD |
| Practice Address |
80 Doctors Dr Panama City FL 32405-4517 |
| Practice Telephone | 8507858557 |
| Practice Fax Number | 8507853497 |
| Mailing Telephone | 8507858557 |
| Mailing Fax Number | 8507853497 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2009-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME0076055 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254751100 | 05 |
| Street Address |
80 DOCTORS DR |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822257 | Jenna R Hurley | Physician Assistant | 80 Doctors Dr, Panama City, FL 32405-4517 | 2020-08-19 |
| 1467801456 | Advanced Urology Institute LLC | Non-Pharmacy Dispensing Site | 80 Doctors Dr, Panama City, FL 32405-4517 | 2016-06-09 |
| 1346684214 | Umar R. Karaman | Urology | 80 Doctors Dr, Panama City, FL 32405 | 2013-04-23 |
| 1730223199 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 80 Doctors Dr, Panama City, FL 32405-4517 | 2007-02-19 |
| 1366438137 | Beatrice Joan Soto | Physician Assistant | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-27 |
| 1790771277 | Michael A Jenkins | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-21 |
| 1609862184 | Neal P Dunn | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-21 |
| 1518953090 | Carlos E Ramos | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-21 |
| 1346235918 | James H Wilkins | Physician Assistant | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-20 |
| 1760477343 | Denis E Healey | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-20 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356302897 | Warren T Hitt | Urology | 80 Doctors, Panama City, FL 32405-7601 | 2006-03-31 |
| 1346684214 | Umar R. Karaman | Urology | 80 Doctors Dr, Panama City, FL 32405 | 2013-04-23 |
| 1790771277 | Michael A Jenkins | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-21 |
| 1609862184 | Neal P Dunn | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-21 |
| 1518953090 | Carlos E Ramos | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-21 |
| 1760477343 | Denis E Healey | Urology | 80 Doctors Dr, Panama City, FL 32405-4517 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| 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.