Basic Information
| Provider Information | |||||||||
| NPI: | 1023027257 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINNEY | ||||||||
| FirstName: | NORMAN | ||||||||
| MiddleName: | REED | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 801 E 6TH STREET | ||||||||
| Address2: | SUITE 309 | ||||||||
| City: | PANAMA CITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8507859559 | ||||||||
| FaxNumber: | 8507851136 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 E 6TH STREET | ||||||||
| Address2: | SUITE 309 | ||||||||
| City: | PANAMA CITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8507859559 | ||||||||
| FaxNumber: | 8507851136 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2006 | ||||||||
| LastUpdateDate: | 09/06/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | ME66118 | FL | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
ID Information
| ID | Type | State | Issuer | Description | 77694 | 01 | MEDICARE/BCBS GROUP NUMBE | OTHER | 25247Z | 01 | FL | MEDICARE PROVIDER NUMBER | OTHER | 25247Z | 01 | FL | BCBS PROVIDER NUMBER | OTHER |