GULF COAST PODIATRY OF NORTHWEST FLORIDA PA (NPI# 1265658546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265658546 |
| Entity Type | Organization |
| Organization Name | GULF COAST PODIATRY OF NORTHWEST FLORIDA PA |
| Practice Address |
1851 N 9th Ave. Pensacola FL 32503-4535 |
| Practice Telephone | 8504349867 |
| Practice Fax Number | 8504349878 |
| Mailing Telephone | 8504349867 |
| Mailing Fax Number | 8504349878 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. JOSEPH E KIEFER (OWNER) |
| Authorized Official Telephone | 8504349867 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO 1874 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 65020 | 01 |
| Street Address |
1851 N 9TH AVE. |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003904467 | Joseph E Kiefer | Podiatrist | 1851 N 9th Ave., Pensacola, FL 32503-4535 | 2006-10-11 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447458419 | Jon A. Snellgrove Dpm Pa | Podiatrist | 6202 N. 9th Ave., Suite 4, Pensacola, FL 32504-8291 | 2007-07-11 |
| 1568541142 | T Gail Stark Dpm Pa | Podiatrist | 12385 Sorrento Rd, Suite D-4, Pensacola, FL 32507-8664 | 2006-11-03 |
| 1750460341 | T Gail Stark | Podiatrist | 11739 Chanticleer Dr, Pensacola, FL 32507-4150 | 2006-11-03 |
| 1003904467 | Joseph E Kiefer | Podiatrist | 1851 N 9th Ave., Pensacola, FL 32503-4535 | 2006-10-11 |
| 1629179973 | Mark A Lambert | Podiatrist | 4850 North Ninth Avenue, Pensacola, FL 32503 | 2006-09-26 |
| 1356303416 | James Fitzgerald Noel | Podiatrist | 2172 W Nine Mile Rd # 212, Pensacola, FL 32534-9413 | 2006-04-04 |
| 1588665830 | Scott Elliot Rickoff | Podiatrist | 2110 N Palafox St, Pensacola, FL 32501-1721 | 2005-08-09 |
| 1154328177 | Mark S Isenberg | Podiatrist | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2005-07-05 |
| 1629517917 | Evolve Podiatry LLC | Podiatrist | 1717 N E St, 116-a, Pensacola, FL 32501-6339 | 2017-02-20 |
| 1528326725 | Jeffrey T Weiland | Podiatrist | 1717 N E St, 116a, Pensacola, FL 32501-6339 | 2012-04-25 |
| 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.