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Eric Daniel Shide

General Practice β€’ Panama City Beach, FL

Active NPI 1326749581 Individual Practitioner Male Practitioner
Practice location in NPPES

350 Crag Rd
Panama City Beach, FL 324077013

Call 8502355218 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

350 Crag Rd

Panama City Beach, FL 324077013

Telephone 8502355218
Fax 8502355993
Organization at the Same NPPES Address or Phone
Naval Diving & Salvage Training Center Facility NPI 1437496916

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Panama City Beach and Florida

1 active clinicians are listed under General Practice with a practice address in Panama City Beach, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-05
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101283506

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 05, 2025

Registered at 350 CRAG RD, PANAMA CITY BEACH, FL 324077013 (Tel: 8502355218)

πŸ“
Updated Business Mailing Address March 05, 2025

Registered at 350 CRAG RD, PANAMA CITY BEACH, FL 324077013 (Tel: 8502355218)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

General Practice (license number reported to NPPES: VA 0101283506)

βœ…
NPI Profile Active March 15, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 15, 2023

Registered at NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 8055045378)

πŸ“
Business Mailing Address (Initial Record) March 15, 2023

Registered at NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 8055045378)

πŸ‘€
Provider Name / Credentials (Initial Record) March 15, 2023

Recorded as ERIC SHIDE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 15, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326749581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2023
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

350 Crag Rd

Panama City Beach, FL 324077013

Phone: 8502355218

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.