SUNIL GUPTA MD LLC (NPI# 1588610075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588610075 |
| Entity Type | Organization |
| Organization Name | SUNIL GUPTA MD LLC |
| Other Organization Name | RETINA SPECIALTY INSTITUTE |
| Practice Address |
5150 N Davis Hwy Pensacola FL 32503-2030 |
| Practice Telephone | 8504766759 |
| Practice Fax Number | 8504845222 |
| Mailing Telephone | 8504766759 |
| Mailing Fax Number | 8504845222 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | DR. SUNIL GUPTA (MANAGING MEMBER) |
| Authorized Official Telephone | 8504766759 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME66379 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICAID | 07331062 | 01 |
| MS | 09016091 | 05 | |
| FL | 267921300 | 05 | |
| AL | 529917080 | 05 | |
| FL | BLUE CROSS PROVIDER GROUP | 34843 | 01 |
| Other Name | Type Code |
|---|---|
| Retina Specialty Institute | Doing Business As Name - Organization |
| Street Address |
5150 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881661585 | John P. Myers | Ophthalmology | 5150 N Davis Hwy, Pensacola, FL 32503-2030 | 2006-03-02 |
| 1316094139 | Ryan M Tarantola | Ophthalmology | 5150 N Davis Hwy, Pensacola, FL 32503-2030 | 2007-01-04 |
| 1063489383 | Sunil Gupta | Ophthalmology | 5150 N Davis Hwy, Pensacola, FL 32503-2030 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810329 | Retina Center of Pensacola Pa | Ophthalmology | 1549 Airport Blvd Ste 410, Pensacola, FL 32504-8634 | 2013-10-17 |
| 1023378809 | William Andrew Hinson | Ophthalmology | 39 Port Royal Way, Pensacola, FL 32502-5759 | 2012-05-25 |
| 1710219084 | Donna M Corder Md Pa | Ophthalmology | 3421 N 12th Ave, Pensacola, FL 32503-4008 | 2010-02-11 |
| 1699814749 | Warren L Herron Jr Md Pa | Ophthalmology | 1717 North E Street #206, Pensacola, FL 32501-6307 | 2007-02-05 |
| 1871648741 | Gavin Carter Mcewan | Ophthalmology | 6000 Hwy 98, Naval Hospital Pensacola, Pensacola, FL 32501 | 2007-01-23 |
| 1033272372 | Andrew P Doan | Ophthalmology | Naval Aerospace Medicine Institute, 340 Hulse Road, Pensacola, FL 32508 | 2006-12-18 |
| 1982787545 | Warren Liddell Herron Jr. | Ophthalmology | 1717 N E St Ste 206, Pensacola, FL 32501-6336 | 2006-10-24 |
| 1639118227 | David M Mills | Ophthalmology | 9050 University Pkwy, Pensacola, FL 32514-5524 | 2006-06-06 |
| 1023073210 | Winfried H Hansen | Ophthalmology | 2020 Langley Ave, Pensacola, FL 32504-8145 | 2006-04-19 |
| 1881661585 | John P. Myers | Ophthalmology | 5150 N Davis Hwy, Pensacola, FL 32503-2030 | 2006-03-02 |
| 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.