MARIUSZ J KLIN M D P A (NPI# 1508021684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508021684 |
| Entity Type | Organization |
| Organization Name | MARIUSZ J KLIN M D P A |
| Other Organization Name | EMERALD COAST GASTROENTEROLOGY |
| Practice Address |
2202 State Ave Suite 301 Panama City FL 32405-7601 |
| Practice Telephone | 8502157071 |
| Practice Fax Number | 8502157073 |
| Mailing Telephone | 8502157071 |
| Mailing Fax Number | 8502157073 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | GRACE KLIN (OFFICE MANAGER) |
| Authorized Official Telephone | 8502157071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME85851 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Emerald Coast Gastroenterology | Doing Business As Name - Organization |
| Street Address |
2202 STATE AVE SUITE 301 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357006 | Mariusz Jerzy Klin | Internal Medicine | 2202 State Ave, Suite 301, Panama City, FL 32405-7601 | 2005-06-27 |
| 1750822797 | Ashley Leb | Nurse Practitioner | 2202 State Ave, Suite 303, Panama City, FL 32405-7601 | 2017-03-09 |
| 1184173338 | Panhandle Surgical Services | Surgery | 2202 State Ave, Ste 104, Panama City, FL 32405-7601 | 2016-09-29 |
| 1578991212 | North Florida Perinatal Associates, Inc | Obstetrics & Gynecology | 2202 State Ave, Suite 103, Panama City, FL 32405-4590 | 2013-10-16 |
| 1861765943 | George J Walters Dds Pa | Oral & Maxillofacial Surgery | 2202 State Ave, Suite 200, Panama City, FL 32405-7601 | 2012-02-20 |
| 1295023802 | Charnett Carroll | Nurse Practitioner | 2202 State Ave, Suite 201, Panama City, FL 32405-7601 | 2011-07-16 |
| 1619261252 | Khurram Nazir | Psychiatry & Neurology | 2202 State Ave, Suite 201, Panama City, FL 32405-7601 | 2011-05-31 |
| 1528213394 | John Beasley Thomas Iv | Emergency Medicine | 2202 State Ave, Suite 104, Panama City, FL 32405-7601 | 2008-11-20 |
| 1154528693 | Don Allen Davis | Internal Medicine | 2202 State Ave, Suite 303, Panama City, FL 32405-7601 | 2007-06-28 |
| 1194927889 | George J Walters Dds Pa | Dentist | 2202 State Ave, Suite 200, Panama City, FL 32405-7601 | 2007-06-04 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366402513 | Eugene Evans | Internal Medicine | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 | 2006-03-23 |
| 1285618454 | Christopher D Wells | Internal Medicine | 204 E 19th St, Panama City, FL 32405-4707 | 2005-12-01 |
| 1457357006 | Mariusz Jerzy Klin | Internal Medicine | 2202 State Ave, Suite 301, Panama City, FL 32405-7601 | 2005-06-27 |
| 1568483246 | Maciej Tumiel Md Pa | Internal Medicine | 2101 Northside Dr, Unit 603, Panama City, FL 32405-3685 | 2006-07-21 |
| 1700806205 | American Gastroenterology Associates Pa | Internal Medicine | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| 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.