PENSACOLA NEPHROLOGY PA (NPI# 1467495424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467495424 |
| Entity Type | Organization |
| Organization Name | PENSACOLA NEPHROLOGY PA |
| Practice Address |
5149 N 9th Ave Suite G35 Pensacola FL 32504-8756 |
| Mailing Address |
1717 N E St Suite 403 Pensacola FL 32501-6339 |
| Practice Telephone | 8504711445 |
| Practice Fax Number | 8504719705 |
| Mailing Telephone | 8504444700 |
| Mailing Fax Number | 8504449766 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MRS. PATRICIA BREELAND (ADMINISTRATOR) |
| Authorized Official Telephone | 8504444700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 256870501 | 05 | |
| FL | 256870507 | 05 | |
| FL | MED3000/HEALTH 1ST NETWOR | 0358 | 01 |
| FL | 256870504 | 05 | |
| AL | 529904030 | 05 | |
| FL | 256870502 | 05 | |
| FL | BCBS OF FLORIDA | 99659 | 01 |
| FL | 256870500 | 05 | |
| RR MEDICARE | CF9776 | 01 | |
| FL | 256870505 | 05 | |
| FL | 256870503 | 05 | |
| FL | 256870506 | 05 | |
| FL | 256870508 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548204357 | Pensacola Nephrology Pa | Specialist | 6001 Industrial Blvd, Century, FL 32535-3312 | 2006-06-15 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| 1871535955 | Pensacola Nephrology Pa | Specialist | 925 Mar Walt Dr, Suite 1, Ft Walton Beach, FL 32547-6759 | 2006-06-12 |
| 1245273242 | Pensacola Nephrology Pa | Specialist | 5401 Corporate Woods Dr, Suite 850, Pensacola, FL 32504-8984 | 2006-06-14 |
| 1033167374 | Pensacola Nephrology Pa | Specialist | 550 Redstone Ave W, Suite 200, Crestview, FL 32536-6428 | 2006-05-05 |
| 1477501153 | Pensacola Nephrology Pa | Specialist | 9400 University Pkwy, Suite 109, Pensacola, FL 32514-5752 | 2006-05-04 |
| 1518969765 | Pensacola Nephrology Pa | Internal Medicine | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2005-06-01 |
| Street Address |
5149 N 9TH AVE SUITE G35 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164407607 | Keane V Arney | Internal Medicine | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2005-12-07 |
| 1831563568 | Up-standing Radiology Services LLC | Radiology | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2015-11-18 |
| 1487994497 | Thomas Joseph Lawrence | Pathology | 5149 N 9th Ave, Suite 122, Pensacola, FL 32504-8756 | 2013-02-28 |
| 1184968281 | Joey Lamar Hart | Pharmacist | 5149 N 9th Ave, Suite 1137, Pensacola, FL 32504-8756 | 2012-11-15 |
| 1841548955 | Don S Angelo Do Pa | General Practice | 5149 N 9th Ave, Suite G39, Pensacola, FL 32504-8756 | 2012-08-21 |
| 1336402791 | Charis Ophelia Rich | Pharmacy Technician | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2012-06-20 |
| 1851654214 | Vickie Marie Campbell | Pharmacist | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2012-06-20 |
| 1699081117 | Nir Joseph Hus | Surgery | 5149 N 9th Ave, Suite 246, Pensacola, FL 32504-8756 | 2010-08-21 |
| 1225287923 | Richard D Sontchi | Surgery | 5149 N 9th Ave, Suite 246, Pensacola, FL 32504-8756 | 2008-09-17 |
| 1578720025 | Rosanny Espinal-witter | Pathology | 5149 N 9th Ave, Pensacola, FL 32504-8779 | 2008-05-21 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528338522 | Paul E Pearson | Specialist | 6400 N Davis Hwy, Suite 2, Pensacola, FL 32504-6903 | 2012-01-06 |
| 1932403409 | Staci Ann Jagoe | Specialist | 455 Shiloh Dr, Pensacola, FL 32503-7713 | 2010-12-27 |
| 1154640308 | Cristen Miller | Specialist | 4470 Spanish Trl, 97, Pensacola, FL 32504-4903 | 2010-05-27 |
| 1437482023 | Daniel Paul Hobgood Iv | Specialist | 4317 Spanish Trl, Pensacola, FL 32504-4942 | 2009-09-14 |
| 1336384783 | Sean Mathew Weiser | Specialist | 744 E Burgess Rd, Suite A105, Pensacola, FL 32504-6227 | 2008-12-12 |
| 1841470895 | Still Waters Medical Spa | Specialist | 20 N Tarragona St, Pensacola, FL 32502-6063 | 2007-11-07 |
| 1306032420 | Janice Leigh Nicholson | Specialist | 4438 Omaha Dr, Pensacola, FL 32507-7746 | 2007-09-21 |
| 1396938247 | Harry James Beecham IIi | Specialist | 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 | 2007-08-23 |
| 1174713531 | Kotlarz Ent and Facial Plastic Surgery | Specialist | 6100 N Davis Hwy, Pensacola, FL 32504-6950 | 2007-07-31 |
| 1205036886 | East-west Medical & Rehabilitation Associates Pa | Specialist | 236 W. Garden St, Ste 1, Pensacola, FL 32501 | 2007-07-20 |
| 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.