SACRED HEART HEALTH SYSTEM, INC. (NPI# 1588180475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588180475 |
Entity Type | Organization |
Organization Name | SACRED HEART HEALTH SYSTEM, INC. |
Other Organization Name | SACRED HEART MEDICAL GROUP #03 |
Practice Address |
4033 Gulf Breeze Pkwy Ste D Gulf Breeze FL 32563 |
Mailing Address |
Po Box 2699 Attn: Hpe Pensacola FL 32513-2699 |
Practice Telephone | 8504949000 |
Practice Fax Number | 8504161248 |
Mailing Telephone | 8504754620 |
Mailing Fax Number | 8504754619 |
Enumeration Date | 2017-08-22 |
Last Update Date | 2018-09-25 |
Authorized Official Name | JAN FOLEY (ENROLLMENT COORDINATOR) |
Authorized Official Telephone | 8504754620 |
Is Organization Subpart | Y |
Parent Organization Name | SACRED HEART HEALTH SYSTEM, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | FL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SACRED HEART MEDICAL GROUP #03 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841343340 | Sacred Heart Health System, Inc. | Durable Medical Equipment & Medical Supplies | 6701 Airport Blvd, Suite 143, Mobile, AL 36608-6705 | 2007-01-19 |
1861562886 | Sacred Heart Health System, Inc. | Early Intervention Provider Agency | 2441 N 9th Ave Ste B, Pensacola, FL 32503-3989 | 2006-11-08 |
1922032424 | Sacred Heart Health System, Inc. | Ambulance | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2006-07-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SACRED HEART HEALTH SYSTEM, INC. | 5151 N 9th Ave, Pensacola, FL 32504-8721 |
Street Address |
4033 GULF BREEZE PKWY STE D |
City | GULF BREEZE |
State | FL |
Zip Code | 32563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992338321 | Eric A Lane | Internal Medicine | 4033 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3506 | 2020-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
1285136937 | Jessica Roth | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-03-07 |
1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
1841658119 | Amber Baughn Tucei | Chiropractor | 5668 Gulf Breeze Pkwy, Unit 6, Gulf Breeze, FL 32563 | 2016-02-02 |
Find all providers in zip 32563 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417361593 | Travis Roth | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy Ste 204, Gulf Breeze, FL 32561-7808 | 2014-06-17 |
1376546028 | Richard Graham Sellers | Orthopaedic Surgery | 41 Fairpoint Dr, Ste B, Gulf Breeze, FL 32561-4380 | 2005-05-24 |
1972506723 | Steve E Jordan | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2005-05-24 |
1639615180 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 200, Gulf Breeze, FL 32561-7809 | 2017-01-09 |
1740662998 | Carl L Byrd IIi | Orthopaedic Surgery | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2015-06-24 |
1932527942 | Jack Edward Mckay | Orthopaedic Surgery | 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4884 | 2014-04-07 |
1639419971 | Michael Rosen | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2013-02-24 |
1568727154 | Anz Ortho LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2012-07-10 |
1447549159 | Andrew Charles Morris | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2011-04-04 |
1528377199 | Stephane Bergeron | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2010-09-30 |
Find all providers in GULF BREEZE |
City | GULF BREEZE |
Zip Code | 32563 |
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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.