DR. JESSE WALCK (NPI# 1487609913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487609913 |
Entity Type | Individual |
Full Name | DR. JESSE WALCK |
Credential | MD |
Practice Address |
5151 North 9th Ave Pensacola FL 32513-2699 |
Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
Practice Telephone | 8504167710 |
Practice Fax Number | 8504167677 |
Mailing Telephone | 8504754500 |
Mailing Fax Number | 8504754619 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2010-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | ME88530 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 268184600 | 05 |
Street Address |
5151 NORTH 9TH AVE |
City | PENSACOLA |
State | FL |
Zip Code | 32513-2699 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
1174122485 | Sharla Calloway | Social Worker | 101 E Romana St, Pensacola, FL 32502-5689 | 2020-10-19 |
1255930665 | Sarah Marie Tran | Registered Nurse | 1600 Governors Dr Apt 1428, Pensacola, FL 32514-9446 | 2020-10-19 |
1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
1821696865 | Rhonda Denise Cunningham | Homemaker | 510 E Yonge St, Pensacola, FL 32503-3874 | 2020-10-13 |
1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
1295333227 | Allen Enterprises and Investments | Behavioral Analyst | 7689 Burnside Loop, Pensacola, FL 32526-9182 | 2020-10-12 |
1821696089 | Audriana Clark | Adult Companion | 7333 Pine Forest Rd Lot 70, Pensacola, FL 32526-3910 | 2020-10-10 |
1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
Find all providers in PENSACOLA |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013330687 | John Frank Bullard Jr. | Pediatrics | 2805 Bayou Blvd, Pensacola, FL 32503-4205 | 2014-02-01 |
1023256476 | Childrens Clinic of Pensacola Pa | Pediatrics | 4220 N Davis Hwy Ste 200, Pensacola, FL 32503-2721 | 2009-01-22 |
1982815171 | Jane Ellen Benson | Pediatrics | 12084 Gulf Beach Hwy, Pensacola, FL 32507-9043 | 2007-05-27 |
1609997725 | Kelli Harris Tapley | Pediatrics | 5151 North 9th Avenue, Pensacola, FL 35054 | 2007-04-03 |
1114081064 | Thomas G Mignerey | Pediatrics | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2006-12-21 |
1427112374 | Dina Jaalouk | Pediatrics | 5868 Creek Station Dr Bldg A, Pensacola, FL 32504-8627 | 2006-12-21 |
1295897064 | Marie Elizabeth John | Pediatrics | 10224 Grackle Ct, Pensacola, FL 32507-7212 | 2006-12-15 |
1568546943 | Philip C Dean | Pediatrics | 9301 Beatrice Dr, Pensacola, FL 32514-5867 | 2006-10-24 |
1144302324 | Pensacola Pediatrics Pa | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2006-10-19 |
1275628752 | Corey Jay Wolff | Pediatrics | 1530 E Airport Blvd, Pensacola, FL 32504 | 2006-10-03 |
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.