Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Tyler Dumrongkulraksa

Individual provider Physician Assistant · NPI 1205115573

Jason Tyler Dumrongkulraksa is a Physician Assistant in Panama City, Florida. Qualified in 2011, 15 years ago. Practices with Hospital Medicine Services of Fl, LLC, a 503-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
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Practice location Address checks out

615 N Bonita Ave
Panama City, FL 32401-3623
Phone: (850) 747-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106023 (FL)

Record details

NPI number1205115573
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2011
Last updated in NPPESDecember 16, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Hospital Medicine Services Of Fl, Llc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Panama City