LIVE OAK NEUROSURGICAL ASSOCIATES PLLC (NPI# 1184140683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184140683 |
| Entity Type | Organization |
| Organization Name | LIVE OAK NEUROSURGICAL ASSOCIATES PLLC |
| Practice Address |
8333 N Davis Hwy Fl 10 Pensacola FL 32514 |
| Mailing Address |
Po Box 2243 Pensacola FL 32513-2243 |
| Practice Telephone | 8505123482 |
| Practice Fax Number | 8509692130 |
| Mailing Telephone | 8504781312 |
| Mailing Fax Number | 8504749060 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | CHARLES L WOLFF (OWNER) |
| Authorized Official Telephone | 8508907706 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | QYYRS | 01 |
| FL | 022217200 | 05 |
| Street Address |
8333 N DAVIS HWY FL 10 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649254855 | Charles L Wolff IIi | Neurological Surgery | 8333 N Davis Hwy Fl 10, Pensacola, FL 32514 | 2005-12-01 |
| 1518363282 | Kristen Watson-globerman | Nurse Practitioner | 8333 N Davis Hwy Fl 10, Pensacola, FL 32514-6050 | 2014-11-07 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265507024 | Matthew B Kern | Neurological Surgery | 2120 E Johnson Ave Ste 106, Pensacola, FL 32514-6091 | 2006-11-21 |
| 1831125822 | Ann M Carr IIi | Neurological Surgery | 5153 N 9th Ave Ste 302, Pensacola, FL 32504-5719 | 2006-06-23 |
| 1083669600 | George Fredrik Gade | Neurological Surgery | 1717 N E St Ste 422, Pensacola, FL 32501-6333 | 2006-05-23 |
| 1649254855 | Charles L Wolff IIi | Neurological Surgery | 8333 N Davis Hwy Fl 10, Pensacola, FL 32514 | 2005-12-01 |
| 1023434669 | Charles E Chapleau M D Neurosurgery Pllc | Neurological Surgery | 1717 N E St, Ste 422, Pensacola, FL 32501-6339 | 2014-03-06 |
| 1366700361 | Christopher F. Villar | Neurological Surgery | 5153 N 9th Ave Ste 302, Pensacola, FL 32504 | 2012-04-26 |
| 1477841385 | Augustus Jose Perez | Neurological Surgery | 5153 N 9th Ave Ste 302, Pensacola, FL 32504-5719 | 2011-07-12 |
| 1205148913 | Evan Miller Lewis | Neurological Surgery | 1717 N E St Ste 422, Pensacola, FL 32501-6333 | 2010-07-10 |
| 1376779892 | Baptist Medical Group LLC | Neurological Surgery | 1717 N E St, Suite 227, Pensacola, FL 32501-6339 | 2009-06-10 |
| 1396829735 | Brett David Reichwage | Neurological Surgery | 1717 N E St, Suite 422, Pensacola, FL 32501-6339 | 2006-10-24 |
| 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.