1851368559 NPI number — MAGDALENA F SHULER M.D., PHD

Table of content: MAGDALENA F SHULER M.D., PHD (NPI 1851368559)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851368559 NPI number — MAGDALENA F SHULER M.D., PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHULER
Provider First Name:
MAGDALENA
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D., PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851368559
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5150 N DAVIS HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENSACOLA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32503-2030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-476-6759
Provider Business Mailing Address Fax Number:
850-484-5222

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2101 NORTHSIDE DR
Provider Second Line Business Practice Location Address:
UNIT 704
Provider Business Practice Location Address City Name:
PANAMA CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32405-3685
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-747-3999
Provider Business Practice Location Address Fax Number:
850-484-5222
Provider Enumeration Date:
03/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  ME88447 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: 044334 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: MD.25586 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207WX0107X , with the licence number: MD.25586 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207WX0107X , with the licence number: ME88447 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 044334 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 267922100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009931435 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009935455 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 059091113 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 2514119 . This is a "GHI PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: MD.25586 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009935445 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5123939 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 059091128 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 7655199 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: A029 . This is a "WELLCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: ME88447 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 81266 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 267922100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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