PANAMA CITY PEDIATRICS PA - NPI 1235150863 - Pediatrics in Panama City, FL

Q: What is Panama City Pediatrics PA's NPI number?

The NPI number for Panama City Pediatrics PA is 1235150863. It was assigned to this organization in the NPPES registry on July 21, 2006.

Q: What is Panama City Pediatrics PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Panama City Pediatrics Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANAMA CITY PEDIATRICS PA (NPI 1235150863) is a healthcare organization registered as a pediatrics in Panama City, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Eehab A Kenawy, President, as its authorized official.

NPPES Registry Identity

NPI1235150863

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePANAMA CITY PEDIATRICS PA

Location Address1937 HARRISON AVEPanama City, FL 32405-4543

Mailing AddressPo Box 15697Panama City, FL 32406-5697 · (850) 747-3048 · Fax (850) 747-0194

Phone(850) 747-3048

Fax(850) 747-0194

Organization SubpartNo

Authorized OfficialEehab A KenawyPresident · (850) 747-3661

Enumeration DateJuly 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1235150863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME91470

Definition

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.

1937 HARRISON AVE, Panama City, FL 32405

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Other Identifiers 1

Other94947FL · Bcbs Florida

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1049351

Panama City Pediatrics PA · Panama City, FL

Active · expires Jan 3, 2028

CLIA Number10D1049351

Laboratory TypePhysician Office

Certificate Effective DateJanuary 4, 2026

Certificate Expiration DateJanuary 3, 2028

Laboratory DirectorEehab Kenawy MD

Laboratory Phone(850) 747-3048

Laboratory LocationPanama City Pediatrics PA621 W Badlwin Rd Ste A, Panama City, FL 32405

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH B BANTON M.D.

Family Medicine