JOHN AXLEY (NPI# 1164595427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164595427 |
| Entity Type | Individual |
| Full Name | JOHN AXLEY |
| Credential | M.D. |
| Practice Address |
4400 Bayou Blvd Ste 43 Pensacola FL 32503-1910 |
| Practice Telephone | 8504773015 |
| Practice Fax Number | 8504773026 |
| Mailing Telephone | 8504773015 |
| Mailing Fax Number | 8504773026 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
00007052 | AL | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME20237 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009945805 | 05 | |
| RRB PTAN | 406132045 | 01 | |
| FL | 052598700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421708 | John Charles Axley | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2016-04-04 |
| Street Address |
4400 BAYOU BLVD STE 43 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184797458 | Debra Axley | Nurse Practitioner | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| 1912070293 | John Axley M D P A | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114398427 | Dr Joe A Jackson, Md Pllc | Psychiatry & Neurology | 224 E Garden St, Suite 5b Box J16, Pensacola, FL 32502-6068 | 2015-10-13 |
| 1427346766 | Joseph Allen Cahill | Psychiatry & Neurology | Naval Hospital 6000 West Highway 98, Pensacola, FL 32512-0001 | 2011-07-20 |
| 1831210392 | Keena Colleen Risola | Psychiatry & Neurology | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2007-04-03 |
| 1881676419 | James David Torrisi | Psychiatry & Neurology | Covenant Hospice, 2001 N. Palafox Street, Pensacola, FL 32501 | 2005-11-18 |
| 1811989346 | Henry Olin Porter IIi | Psychiatry & Neurology | 1110 Airport Blvd, Suite B, Pensacola, FL 32504 | 2005-08-19 |
| 1003136987 | Ethan Mccaleb Gore | Psychiatry & Neurology | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2010-06-02 |
| 1730339912 | Amy K Sullivan | Psychiatry & Neurology | 5153 N 9th Ave, Suite 404, Pensacola, FL 32504-8785 | 2008-09-24 |
| 1609901487 | Lawrence King IIi | Psychiatry & Neurology | 5153 N 9th Ave, Suite 300, Pensacola, FL 32504-8785 | 2007-02-22 |
| 1386780302 | Kiumars E. Shams | Psychiatry & Neurology | 101 S Jefferson St, Suite C, Pensacola, FL 32502-5656 | 2007-01-29 |
| 1912070293 | John Axley M D P A | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| 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.