EMERALD COAST PEDIATRICS & ADOLESCENTS – NPI #1790130250
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

EMERALD COAST PEDIATRICS & ADOLESCENTS is a provider located in PANAMA CITY, FL. NPPES has assigned the NPI number 1790130250 to EMERALD COAST PEDIATRICS & ADOLESCENTS on May 03, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMERALD COAST PEDIATRICS & ADOLESCENTS below.

NPI Profile for
EMERALD COAST PEDIATRICS & ADOLESCENTS

NPI Number
1790130250
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMERALD COAST PEDIATRICS & ADOLESCENTS
Primary location
621 W BALDWIN RD STE A
PANAMA CITY, FL 32405-3364
Phone: (850) 747-3661 Fax: (850) 747-0194
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EEHAB KENAWY
OWNER
Phone: (850) 747-3661
Updated
Identifiers

Identifiers for EMERALD COAST PEDIATRICS & ADOLESCENTS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL266831900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL ME86651

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.