BAPTIST PHYSICIAN GROUP LLC (NPI# 1427573757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427573757 |
| Entity Type | Organization |
| Organization Name | BAPTIST PHYSICIAN GROUP LLC |
| Practice Address |
5100 N 12th Ave Ste 102 Pensacola FL 32504-8919 |
| Mailing Address |
Po Box 30532 Pensacola FL 32503-1532 |
| Practice Telephone | 8504378592 |
| Practice Fax Number | 8504378599 |
| Mailing Telephone | 8504781312 |
| Mailing Fax Number | 8504749060 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| Authorized Official Name | BRYON SCOTT RAYNES (PRESIDENT) |
| Authorized Official Telephone | 8504692319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 110608 | 05 | |
| FL | FLORIDA BLUE | 39662 | 01 |
| FL | 001330100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1609391929 | Baptist Physician Group LLC | Family Medicine | 8880 Navarre Pkwy Ste 206, Navarre, FL 32566-3614 | 2017-08-08 |
| 1609392018 | Baptist Physician Group LLC | Family Medicine | 9400 University Pkwy Ste 101a, Pensacola, FL 32514-5485 | 2017-08-17 |
| 1598280828 | Baptist Physician Group LLC | Family Medicine | 6715 W Highway 98, Pensacola, FL 32506-5923 | 2017-08-08 |
| 1720322811 | Baptist Physician Group LLC | Physician Assistant | 9400 University Pkwy, Suite 309, Pensacola, FL 32514-5752 | 2012-11-15 |
| 1659572816 | Baptist Physician Group LLC | Family Medicine | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2007-05-29 |
| Street Address |
5100 N 12TH AVE STE 102 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720341878 | Andrew Michael Pepper | Orthopaedic Surgery | 5100 N 12th Ave Ste 102, Pensacola, FL 32504 | 2012-06-22 |
| 1649823733 | Remington F Gantt | Specialist/Technologist | 5100 N 12th Ave Ste 102, Pensacola, FL 32504-8919 | 2019-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803963 | Ortho Florida, LLC | Orthopaedic Surgery | 9400 University Pkwy Ste 101b, Pensacola, FL 32514-5485 | 2018-08-29 |
| 1831615293 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 13137 Sorrento Rd Ste E, Pensacola, FL 32507-8777 | 2017-08-17 |
| 1720341878 | Andrew Michael Pepper | Orthopaedic Surgery | 5100 N 12th Ave Ste 102, Pensacola, FL 32504 | 2012-06-22 |
| 1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
| 1457579435 | Erik Christian Nilssen | Orthopaedic Surgery | 825 E Burgess Rd, Pensacola, FL 32504-7001 | 2007-04-23 |
| 1063535979 | William Stansul Ragon Jr. | Orthopaedic Surgery | Orthopaedic Department, 6000 West Highway 98, Pensacola, FL 32512-0001 | 2007-04-06 |
| 1336119387 | Felix Rodriguez Tormes | Orthopaedic Surgery | Highway 98, Naval Hospital, Pensacola, FL 32512 | 2006-01-24 |
| 1831191436 | Thomas Joseph Dennie | Orthopaedic Surgery | 2441 N 9th Ave, Suite B, Pensacola, FL 32503-3911 | 2005-08-12 |
| 1790789774 | Phillip Craig Benton | Orthopaedic Surgery | 1823 N 9th Ave, Pensacola, FL 32503-5270 | 2005-06-08 |
| 1851394613 | Donald M Dewey | Orthopaedic Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-05-24 |
| 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.