COASTAL CARDIOVASCULAR SURGEONS (NPI# 1811182546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811182546 |
| Entity Type | Organization |
| Organization Name | COASTAL CARDIOVASCULAR SURGEONS |
| Practice Address |
801 E 6th St Suite 309 Panama City FL 32401-3661 |
| Practice Telephone | 8507859559 |
| Practice Fax Number | 8507857747 |
| Mailing Telephone | 8507859559 |
| Mailing Fax Number | 8507857747 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | DR. JOHN M KESSINGER (PRESIDENT) |
| Authorized Official Telephone | 8507859559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME66264 | FL | Other Service Providers |
| N | 174400000X | Specialist | ME66118 | FL | Other Service Providers |
| Y | 174400000X | Specialist | ME0049047 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PROVIDER NUMBER | 25247Z | 01 |
| MEDICARE PROVIDER NUMBER | 04997Z | 01 | |
| FL | MEDICARE GROUP PROVIDER | 77694 | 01 |
| FL | MEDICARE PROVIDER NUMBER | 32993C | 01 |
| Street Address |
801 E 6TH ST SUITE 309 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704308 | Heidi Ann Hamilton | Nurse Anesthetist, Certified Registered | 801 E 6th St, Suite 205, Panama City, FL 32401-3661 | 2005-07-18 |
| 1023567450 | Kirsti F Willis | Registered Nurse | 801 E 6th St, Suite 604, Panama City, FL 32401-3661 | 2016-09-27 |
| 1275923195 | Alicia L Meicher | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401 | 2015-01-30 |
| 1497145858 | Bradley Strickland | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401-3661 | 2015-01-23 |
| 1831597079 | Michele Ramsey | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401-3661 | 2014-12-19 |
| 1770981698 | Lisa Carey | Nurse Anesthetist, Certified Registered | 801 E 6th St, Panama City, FL 32401-3661 | 2014-12-09 |
| 1225432727 | Cardiovascular Institute of Northwest Florida | Nurse Practitioner | 801 E 6th St, Suite 504, Panama City, FL 32401-3661 | 2014-10-14 |
| 1962806463 | The Cardiovascular Institute of Northwest Florida | Nurse Practitioner | 801 E 6th St, Suite 504, Panama City, FL 32401-3661 | 2014-10-14 |
| 1891103149 | Ariel Perry | Physician Assistant | 801 E 6th St, Suite 504, Panama City, FL 32401-3661 | 2014-07-31 |
| 1518381326 | Emily Morris | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401-3661 | 2014-02-13 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250150 | Bonita Gaye Kingsteinkamp | Specialist | 1713 Beck Ave, Suite B, Panama City, FL 32405-2566 | 2015-03-21 |
| 1396049268 | Freda Marie Edwards | Specialist | 2425 Ormond Ave., Panama City, FL 32405 | 2011-01-06 |
| 1720382179 | Tanya Marie Nance | Specialist | 703 Williams Ave, Panama City, FL 32401-4225 | 2010-12-28 |
| 1659674380 | Sharlene Rhaetta Humphrey | Specialist | 520 E 9th St, Panama City, FL 32401-2968 | 2010-12-20 |
| 1912185323 | Amanda Dean Sims | Specialist | 2001 Wilson Ave, Panama City, FL 32405-4532 | 2008-02-07 |
| 1255529772 | Coastal Allergy & Asthma P.a. | Specialist | 3228 East 15th Street, Panama City, FL 32405 | 2007-10-10 |
| 1558558171 | Amir Manzoor, Md, Pa | Specialist | 237 E Baldwin Rd, #103, Panama City, FL 32405-4205 | 2007-09-27 |
| 1649466137 | Panama City General Surgery Pa | Specialist | 806 E 6th St, Panama City, FL 32401-3620 | 2007-09-19 |
| 1114148996 | William W Dent Mdpa | Specialist | 801 E 6th St Ste 201, Panama City, FL 32401-3667 | 2007-05-01 |
| 1942327127 | Terri Joyce Lawson | Specialist | 216 Forest Park Cir, Panama City, FL 32405-4915 | 2007-03-23 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on COASTAL CARDIOVASCULAR SURGEONS.
| 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.