MR. ROGER C CLUBBS (NPI# 1023192408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023192408 |
| Entity Type | Individual |
| Full Name | MR. ROGER C CLUBBS |
| Credential | MD |
| Practice Address |
4951 Grande Dr Pensacola FL 32504-8965 |
| Practice Telephone | 8504730100 |
| Practice Fax Number | 8504730500 |
| Mailing Telephone | 8504730100 |
| Mailing Fax Number | 8504730500 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME21657 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 053881700 | 05 |
| Street Address |
4951 GRANDE DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144302324 | Pensacola Pediatrics Pa | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2006-10-19 |
| 1235764770 | Mallory Hinton | Nurse Practitioner | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2020-03-05 |
| 1578115671 | Jena Jones | Nurse Practitioner | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2019-07-10 |
| 1982915682 | Andrea Faye Delacruz | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2010-06-28 |
| 1619123049 | Jessica Clubbs Ewert | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2008-08-18 |
| 1477637858 | Heather H Lenga | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2006-10-24 |
| 1427132802 | Carol A Andrews | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2006-10-24 |
| 1811079908 | Michelle G Beasley | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013330687 | John Frank Bullard Jr. | Pediatrics | 2805 Bayou Blvd, Pensacola, FL 32503-4205 | 2014-02-01 |
| 1023256476 | Childrens Clinic of Pensacola Pa | Pediatrics | 4220 N Davis Hwy Ste 200, Pensacola, FL 32503-2721 | 2009-01-22 |
| 1982815171 | Jane Ellen Benson | Pediatrics | 12084 Gulf Beach Hwy, Pensacola, FL 32507-9043 | 2007-05-27 |
| 1609997725 | Kelli Harris Tapley | Pediatrics | 5151 North 9th Avenue, Pensacola, FL 35054 | 2007-04-03 |
| 1114081064 | Thomas G Mignerey | Pediatrics | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2006-12-21 |
| 1427112374 | Dina Jaalouk | Pediatrics | 5868 Creek Station Dr Bldg A, Pensacola, FL 32504-8627 | 2006-12-21 |
| 1295897064 | Marie Elizabeth John | Pediatrics | 10224 Grackle Ct, Pensacola, FL 32507-7212 | 2006-12-15 |
| 1568546943 | Philip C Dean | Pediatrics | 9301 Beatrice Dr, Pensacola, FL 32514-5867 | 2006-10-24 |
| 1144302324 | Pensacola Pediatrics Pa | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2006-10-19 |
| 1275628752 | Corey Jay Wolff | Pediatrics | 1530 E Airport Blvd, Pensacola, FL 32504 | 2006-10-03 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.