TERRY L PTACEK (NPI# 1437121175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437121175 |
| Entity Type | Individual |
| Full Name | TERRY L PTACEK |
| Credential | MD |
| Practice Address |
1221 W Lakeview Ave Pensacola FL 32501-1857 |
| Practice Telephone | 8504693500 |
| Practice Fax Number | 8504693424 |
| Mailing Telephone | 8504693500 |
| Mailing Fax Number | 8504693424 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
ME39221 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1221 W LAKEVIEW AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943772 | Lakeview Center Inc | Psychiatric Residential Treatment Facility | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2005-06-21 |
| 1770182875 | Jonathan Hoffman | Social Worker | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-10-20 |
| 1619586674 | Claire Evans | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-07-27 |
| 1619517984 | Kristopher Fross | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-01-14 |
| 1699315044 | Brittany C Fields | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2020-01-14 |
| 1710526298 | Samantha Marie Mclane | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-12-31 |
| 1639718455 | Danielle Pugh | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-12-26 |
| 1407490923 | Brittany Carney | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-10-29 |
| 1457992968 | Ashley Nicole Wei | Nurse Practitioner | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-10-06 |
| 1841841293 | Marchella Carter | Counselor | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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|---|---|---|---|---|
| 1649895095 | Bdmj Holdings | Family Medicine | 2150 Lake Ida Rd Ste 2, Delray Beach, FL 33445-2443 | 2020-06-11 |
| 1932730942 | Freeport Medical Associates | Family Medicine | 17256 Main St N Ste 1, Blountstown, FL 32424-1775 | 2020-01-29 |
| 1649822867 | Medical Partners of The Palm Beaches | Family Medicine | 2600 Quantum Blvd Bldg A, Boynton Beach, FL 33426-8627 | 2019-07-09 |
| 1780247064 | Pinnacle Rehabilitation Group | Family Medicine | 1680 Se Lyngate Dr Ste 204, Port Saint Lucie, FL 34952-4300 | 2019-04-22 |
| 1518441252 | Solstice Health and Wellness, LLC | Family Medicine | 1219 S East Ave South, Suite C204, Sarasota, FL 34239-2340 | 2018-09-19 |
| 1063956761 | Inspirations Recovery Center, LLC | Family Medicine | 5208 10th Ave N, Greenacres, FL 33463-2053 | 2016-12-14 |
| 1003365800 | Family First | Family Medicine | 5220 Hood Road, Suite 100, Palm Beach Gardens, FL 33418-8910 | 2016-09-22 |
| 1396290409 | Aquarius Physicians Group | Family Medicine | 749 Us Highway 1, Suite 210, North Palm Beach, FL 33408-4400 | 2016-08-18 |
| 1861823452 | Parthenon Behavioral Center | Family Medicine | 5101 Bowden Road, Jacksonville, FL 32216 | 2013-12-06 |
| 1457697278 | South Walton Medical Group | Family Medicine | 10065 Us Highway 98 W Ste B101, Miramar Beach, FL 32550-1902 | 2012-12-26 |
| Find all providers with the same taxonomy | ||||
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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.