WEST FLORIDA MEDICAL CENTER CLINIC PA (NPI# 1043396245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043396245 |
| Entity Type | Organization |
| Organization Name | WEST FLORIDA MEDICAL CENTER CLINIC PA |
| Other Organization Name | MEDICAL CENTER CLINIC AMBULATORY SURGICAL CENTER |
| Practice Address |
8333 N Davis Hwy Pensacola FL 32514-6050 |
| Practice Telephone | 8509692121 |
| Practice Fax Number | 8509692989 |
| Mailing Telephone | 8509692121 |
| Mailing Fax Number | 8509692989 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | MARSHALL ANDY POPPLE (PRESIDENT) |
| Authorized Official Telephone | 8504748724 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST FLORIDA MEDICAL CENTER CLINIC PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
791 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PALMETO MEDICARE | 490002804 | 01 |
| BLUE CROSS OF FLORIDA | 64C | 01 | |
| FL | 079184900 | 05 | |
| UNITED HEALTH CARE | 68-01811 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Center Clinic Ambulatory Surgical Center | Doing Business As Name - Organization |
| Street Address |
8333 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394613 | Donald M Dewey | Orthopaedic Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-05-24 |
| 1114528312 | Lucas Braden Heitman | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-11-04 |
| 1093328056 | Alyssa Haley | Audiologist | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-28 |
| 1568074995 | Andrew Bean | Pharmacist | 8333 N Davis Hwy, Walgreens, Pensacola, FL 32514 | 2020-08-18 |
| 1942810072 | Martha Davault | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-04 |
| 1144855958 | Nicole Chase Adams | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2020-03-12 |
| 1093352619 | Danielle Tozzo | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2019-12-02 |
| 1104475235 | Aryn Del Valle | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-09-11 |
| 1649731415 | Vanessa Enriquez | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-03-26 |
| 1881165652 | Jessica Christine Byrd | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033468442 | Cornerstone Surgicare LLC | Clinic/Center | 511 Hewitt Street, Pensacola, FL 32503 | 2012-08-30 |
| 1144291923 | Interventional Therapeutics Institute, LLC | Clinic/Center | 5102 N Davis Hwy, Pensacola, FL 32503-2030 | 2006-01-30 |
| 1033113402 | Northwest Florida Surgical Center, Inc. | Clinic/Center | 4600 N Davis Hwy, Pensacola, FL 32503 | 2005-06-13 |
| 1881131621 | Fresenius Vascular Care of Pensacola Asc LLC | Clinic/Center | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2017-01-31 |
| 1891161154 | Advanced Surgery Center LLC | Clinic/Center | 6100 N Davis Hwy, Pensacola, FL 32504-6950 | 2015-08-20 |
| 1760875983 | Baptist Medical Park Surgery Center, LLC | Clinic/Center | 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 | 2015-03-12 |
| 1760724314 | Henghold Surgery Center LLC | Clinic/Center | 530 Fontaine St, Pensacola, FL 32503-2019 | 2013-03-21 |
| 1417077090 | Baptist Medical Park Surgery Center LLC | Clinic/Center | 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 | 2007-03-29 |
| 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.