SACRED HEART MEDICAL GROUP (NPI# 1487948659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487948659 |
| Entity Type | Organization |
| Organization Name | SACRED HEART MEDICAL GROUP |
| Practice Address |
5147 N 9th Ave Ste 103 Pensacola FL 32504-8771 |
| Practice Telephone | 8504166886 |
| Mailing Telephone | 8504166886 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | MRS. KATHRYN AUDELL PIBURN (NURSE PRACTITIONER) |
| Authorized Official Telephone | 2517096297 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ARNP9324383 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205384336 | Sacred Heart Medical Group | Clinic/Center | 1549 Airport Blvd, 200a, Pensacola, FL 32504-8633 | 2016-09-19 |
| 1902857352 | Sacred Heart Medical Group | Obstetrics & Gynecology | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2006-05-12 |
| Street Address |
5147 N 9TH AVE STE 103 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
| 1548800741 | Andrew Pickering | Nurse Practitioner | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2020-01-15 |
| 1619494366 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2017-08-24 |
| 1700331840 | Caitlin Mccaffrey | Physician Assistant | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2016-08-18 |
| 1598151375 | Matthew Earl Cummins | Podiatrist | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2015-04-08 |
| 1215286711 | Nathan Leigh Carter | Nurse Practitioner | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2012-08-30 |
| 1851603062 | Mason Harold Hicks | Physician Assistant | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2010-07-06 |
| 1104026442 | Andrew Blake Collette | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-07-24 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1609146760 | Pensacola Family Practice | Clinic/Center | 5500 N Davis Hwy Ste 3, Pensacola, FL 32503-2063 | 2012-01-06 |
| 1669689121 | Tara Littlejohn Gonzales Md - Arbor Pediatrics | Clinic/Center | 4220 N Davis Hwy # A-200, Pensacola, FL 32503-2752 | 2007-05-16 |
| 1932708617 | Grace Family Practice | Clinic/Center | 6470 Tippin Ave, Pensacola, FL 32504-8143 | 2020-10-22 |
| 1881293587 | Graceland Family Practice | Clinic/Center | 6470 Tippin Ave, Pensacola, FL 32504-8143 | 2020-10-22 |
| 1114542867 | Miguel A Gutierrez-diaz, D.o., Pllc | Clinic/Center | 4700 Bayou Blvd Ste 2c, Pensacola, FL 32503-2670 | 2020-06-09 |
| 1205384336 | Sacred Heart Medical Group | Clinic/Center | 1549 Airport Blvd, 200a, Pensacola, FL 32504-8633 | 2016-09-19 |
| 1629467717 | Manning Hanline, Jr., M.d. | Clinic/Center | 1717 N E St, Ste 526, Pensacola, FL 32501-6339 | 2015-01-13 |
| 1215349535 | Wayne S. Willis Md LLC | Clinic/Center | 3111 Peggy Bond Dr, Pensacola, FL 32504-5018 | 2014-05-21 |
| 1326461609 | Scenic Primary Care Medical Clinic LLC | Clinic/Center | 8105 Scenic Hwy, Pensacola, FL 32514-7806 | 2014-01-22 |
| 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.