FSU PEDIATRIC RESIDENCY PROGRAM (NPI# 1558652040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558652040 |
| Entity Type | Organization |
| Organization Name | FSU PEDIATRIC RESIDENCY PROGRAM |
| Practice Address |
5151 N 9th Ave 6th Floor Nemours Childrens Clinic Pensacola FL 32504-8721 |
| Mailing Address |
8955 Abbington Dr Pensacola FL 32534-5347 |
| Practice Telephone | 8504167658 |
| Mailing Telephone | 6302298770 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | DR. POOJA KASHYAP (RESIDENT/PGY3) |
| Authorized Official Telephone | 6302298770 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
TRN15533 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750547972 | Fsu Pediatric Residency Program | General Acute Care Hospital | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2008-08-07 |
| Street Address |
5151 N 9TH AVE 6TH FLOOR NEMOURS CHILDRENS CLINIC |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518882 | Donald W Farmer | Radiology | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2005-06-17 |
| 1417554478 | Natalie Mabire | Registered Nurse | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-10-02 |
| 1750993390 | Stewart Jeter | Nurse Anesthetist, Certified Registered | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-08-17 |
| 1164030722 | Minh Cai Ryan | Pharmacist | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-07-20 |
| 1487270427 | Ashley Gaudet | Nurse Practitioner | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-06-24 |
| 1184249880 | Joseph Sasser | Student in an Organized Health Care Education/Training Program | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-06-09 |
| 1518581024 | William Lindsay | Student in an Organized Health Care Education/Training Program | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-06-01 |
| 1023632668 | Jonathan Rivera Diaz | Student in an Organized Health Care Education/Training Program | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-05-29 |
| 1942821392 | Hayley Graham | Pharmacist | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-04-27 |
| 1154941292 | Janesha W Thomas | Pharmacist | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2020-04-18 |
| 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 | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821244989 | Florida State University | General Acute Care Hospital | 5153 N 9th Ave, 6th Floor Nemours Childrens Clinic, Pensacola, FL 32504-8785 | 2008-08-08 |
| 1750547972 | Fsu Pediatric Residency Program | General Acute Care Hospital | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2008-08-07 |
| 1023069036 | Pediatrix Medical Group | General Acute Care Hospital | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2006-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205193455 | Pediatric Emergency Medicine Department | General Acute Care Hospital | 10000 Sw 52nd Ave Apt 96, Gainesville, FL 32608-8335 | 2012-04-12 |
| 1275666364 | George Joseph Bennett | General Acute Care Hospital | 2628 Arbor Ln, Royal Palm Beach, FL 33411-6126 | 2007-03-14 |
| 1457991523 | Southern Baptist Hospital of Florida Inc | General Acute Care Hospital | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-01-07 |
| 1073962106 | Palms West Hospital | General Acute Care Hospital | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2016-06-09 |
| 1063877181 | All Children's Hospital | General Acute Care Hospital | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2015-12-16 |
| 1619307667 | Usf Health | General Acute Care Hospital | 17 Davis Blvd, #200, Tampa, FL 33606-3475 | 2013-11-12 |
| 1932538089 | University of Florida | General Acute Care Hospital | 1600 Sw Archer Rd, B100296, Room Hd-513, Gainesville, FL 32610-3003 | 2013-11-08 |
| 1265867667 | Larkin Community Hospital | General Acute Care Hospital | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2013-09-05 |
| 1356694400 | Orlando Health | General Acute Care Hospital | 92 W Miller St, Attn: Picu, Orlando, FL 32806-2032 | 2012-10-25 |
| 1962758342 | Shands Lake Shore Regional Medical Center | General Acute Care Hospital | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2012-08-03 |
| 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.