MR. KENNETH D RAGAN (NPI# 1295720431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295720431 |
| Entity Type | Individual |
| Full Name | MR. KENNETH D RAGAN |
| Credential | MD |
| Practice Address |
2191 E Johnson Ave Pensacola FL 32514-6029 |
| Practice Telephone | 8504943953 |
| Practice Fax Number | 8504943960 |
| Mailing Telephone | 8504943953 |
| Mailing Fax Number | 8504943960 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
ME28214 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057480500 | 05 |
| Street Address |
2191 E JOHNSON AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710305107 | Anna Catherine Reynolds | Nurse Practitioner | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2014-04-02 |
| 1891030813 | Patricia Michel-garrison | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2012-12-03 |
| 1659690881 | Georgia Lee Ketchum | Psychiatry & Neurology | 2191 E Johnson Ave, Inpatient Psychiatry, Pensacola, FL 32514-6029 | 2010-05-27 |
| 1649346586 | John C Hayes | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2006-11-24 |
| 1518064583 | Bascom Kyle Bradshaw | Preventive Medicine | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2006-09-20 |
| 1730282070 | Christopher M Davidson | Psychiatry & Neurology | 2191 E Johnson Ave, Inpatient Psychiatry, Pensacola, FL 32514-6029 | 2006-09-05 |
| 1588659395 | Raul Jimenez | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-19 |
| 1053306878 | Susan W Lightfoot | Counselor | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-19 |
| 1801881040 | John C Fetzer | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| 1841285079 | Thomas E Myer | Psychologist | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| 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 | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947377 | Robert Scott Benson | Psychiatry & Neurology | 5190 Bayou Blvd, Bldg 6, Pensacola, FL 32503-2194 | 2005-07-29 |
| 1699970962 | Okaloosa Mental Health & Psychiatric Center, Inc. | Psychiatry & Neurology | 101 S Jefferson St, Suite C, Pensacola, FL 32502-5656 | 2007-06-18 |
| 1528110947 | Jordan C Iserman | Psychiatry & Neurology | 900 Garden Gate Cir, Pensacola, FL 32504-8629 | 2007-01-17 |
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| 1972165231 | Blossoming Wellbeing Corp. | Psychiatry & Neurology | 6622 32nd Way S, St Petersburg, FL 33712-5408 | 2019-07-07 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1679057814 | United Health and Wellness Group, Inc. | Psychiatry & Neurology | 201 N Federal Hwy Ste 105, Deerfield Beach, FL 33441-3621 | 2018-09-24 |
| 1467934224 | Arh Medical Group LLC | Psychiatry & Neurology | 631 Us Highway 1 Ste 409, North Palm Beach, FL 33408-4621 | 2018-08-29 |
| 1255879060 | Round Care, Inc | Psychiatry & Neurology | 300 W Sunrise Blvd Ste 3, Ft Lauderdale, FL 33311-6200 | 2017-02-01 |
| 1154766541 | Paul Roberts | Psychiatry & Neurology | 8529 Southpark Cir, Suite 270, Orlando, FL 32819-9029 | 2013-04-30 |
| 1386910172 | Siddharth Singh Arora | Psychiatry & Neurology | 1811 S Orlando Ave Ste A, Cocoa Beach, FL 32931-2340 | 2012-03-27 |
| 1194010694 | Laurie Ann Solomon | Psychiatry & Neurology | 100 Newell Dr # L4100, Gainesville, FL 32611-1912 | 2011-06-13 |
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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.