NICHOLAS M DRAKE (NPI# 1023379575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023379575 |
| Entity Type | Individual |
| Full Name | NICHOLAS M DRAKE |
| Credential | M.D. |
| Practice Address |
1717 N E St Ste 231 Pensacola FL 32501 |
| Mailing Address |
Po Box 17567 Pensacola FL 32522-7567 |
| Practice Telephone | 8504697975 |
| Practice Fax Number | 8504692113 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME135482 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 025013000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 417 N 11th St, Im: Resident Acc Clinic, Richmond, VA 232985002 | 8048281941 | 8048280283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417349176 | Nicholas Drake | Social Worker | 1473 Water St, Eaton Rapids, MI 48827-1866 | 2015-03-04 |
| Street Address |
1717 N E ST STE 231 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639100977 | Rhonda O Campbell | Nurse Practitioner | 1717 N E St Ste 231, Pensacola, FL 32501 | 2006-07-05 |
| 1760822761 | Syed Imran Mustafa Jafri | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501-6390 | 2013-07-05 |
| 1851667109 | Sweta Jonnalagadda | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501-6390 | 2012-03-30 |
| 1629086780 | Sangeeta Bhagwatlal Amin | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501-6390 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083750962 | Alexander Brown | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504-8615 | 2007-01-29 |
| 1801881222 | Elmer P Brestan | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2005-09-12 |
| 1851667109 | Sweta Jonnalagadda | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501-6390 | 2012-03-30 |
| 1053584003 | Dee Mcleod | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2008-04-10 |
| 1871762971 | Lonnie Dean Miller | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504 | 2008-02-22 |
| 1952528762 | Michael Joseph Poiesz | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2007-04-20 |
| 1356474548 | Dany Naim El Sayah | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2007-03-14 |
| 1811047905 | James F Watkins IIi | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2007-01-11 |
| 1558460626 | Yazan Alsayed | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2006-09-22 |
| 1629086780 | Sangeeta Bhagwatlal Amin | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501-6390 | 2006-08-04 |
| 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.