PENSACOLA PRIMARY CARE INC (NPI# 1306835780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306835780 |
| Entity Type | Organization |
| Organization Name | PENSACOLA PRIMARY CARE INC |
| Practice Address |
321 S Fairfield Dr Pensacola FL 32506-4990 |
| Practice Telephone | 8504748546 |
| Practice Fax Number | 8504567222 |
| Mailing Telephone | 8504748546 |
| Mailing Fax Number | 8504567222 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | MR. MICKEY PICKLER (VP) |
| Authorized Official Telephone | 8505232117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386781342 | Pensacola Primary Care Inc | Family Medicine | 2360 U.S. Highway 29 South, Cantonment, FL 32533 | 2007-01-31 |
| 1982643169 | Pensacola Primary Care Inc | Pediatrics | 2120 East Johnson Avenue, Suite 103, Pensacola, FL 32514-6050 | 2006-06-05 |
| 1467434860 | Pensacola Primary Care Inc | Family Medicine | 6431 North 'w' Street, Pensacola, FL 32505 | 2005-11-19 |
| 1992828818 | Pensacola Primary Care Inc | Family Medicine | 5942 Berryhill Rd, Milton, FL 32570-4009 | 2007-04-07 |
| 1629114426 | Pensacola Primary Care Inc | Family Medicine | 4601 Spanish Trl, Pensacola, FL 32504-5008 | 2007-01-29 |
| 1235284647 | Pensacola Primary Care Inc | Family Medicine | 3521 Limbaugh Ln, Pace, FL 32571-8789 | 2007-01-24 |
| 1568451029 | Pensacola Primary Care Inc | Family Medicine | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 | 2005-10-18 |
| 1255320636 | Pensacola Primary Care Inc | Family Medicine | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2005-10-18 |
| Street Address |
321 S FAIRFIELD DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32506-4990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023003589 | Christopher H Rush | Family Medicine | 321 S Fairfield Dr, Pensacola, FL 32506-4990 | 2005-09-12 |
| 1265947386 | Lisa Looper | Nurse Practitioner | 321 S Fairfield Dr, Pensacola, FL 32506-4990 | 2017-12-12 |
| 1053307629 | Joe A Dunn Jr. | Family Medicine | 321 S Fairfield Dr, Pensacola, FL 32506-4990 | 2005-09-20 |
| 1013902857 | David R Smith | Family Medicine | 321 S Fairfield Dr, Pensacola, FL 32506-1412 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
| 1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
| 1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
| 1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
| 1417066275 | Fairfield Dental Center | Dentist | 4800 W. Fairfield Drive, Pensacola, FL 32506 | 2006-08-29 |
| 1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
| 1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
| Find all providers in zip 32506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473588 | Marathon Health LLC | Family Medicine | 2257 N Baylen St, Pensacola, FL 32501-1703 | 2020-09-24 |
| 1063049666 | Beth Sample | Family Medicine | 418 W Brainerd St, Pensacola, FL 32501-3062 | 2020-03-24 |
| 1326688458 | Jeane M Thomas | Family Medicine | 4734 Huron Dr, Pensacola, FL 32507-8737 | 2020-01-07 |
| 1932667391 | Julie Ahrend | Family Medicine | 2603 N 16th Ave, Pensacola, FL 32503-4635 | 2019-03-05 |
| 1942765292 | Access Care Family Medicine | Family Medicine | 6705 Pine Forest Rd Ste 505, Pensacola, FL 32526-6911 | 2019-01-31 |
| 1417441742 | Alisha Watson | Family Medicine | 1549 Airport Blvd Ste 200b, Pensacola, FL 32504-8634 | 2018-06-20 |
| 1477094753 | Emily Ellen Crocetti | Family Medicine | Family Medicine Department 6000 W Us Hwy 98, Pensacola, FL 32512-1200 | 2017-03-20 |
| 1821533001 | William Belk Md LLC | Family Medicine | 3450 Oakmont Dr, Pensacola, FL 32503-6900 | 2016-12-27 |
| 1851756852 | Michelle Lynn Smith | Family Medicine | 3700 Creighton Rd, Suite 4, Pensacola, FL 32504-4680 | 2015-12-18 |
| 1659777985 | Dolores Anne Holtmann | Family Medicine | 9400 University Pkwy Ste 409, Pensacola, FL 32514-5485 | 2014-11-13 |
| 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.