PRIMARY CARE OF THE GULF COAST LLC (NPI# 1609497726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609497726 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE OF THE GULF COAST LLC |
| Practice Address |
235 W Airport Blvd Pensacola FL 32505-2239 |
| Mailing Address |
7905 Huntington Creek Ln Pensacola FL 32526-4470 |
| Practice Telephone | 8508575200 |
| Practice Fax Number | 8504772235 |
| Mailing Telephone | 8503414151 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | JODILYN HOLZ (MGR) |
| Authorized Official Telephone | 8503414151 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
235 W AIRPORT BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32505-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790725596 | Op Pensacola, Inc. | Nursing Facility/Intermediate Care Facility | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2006-06-08 |
| 1295368645 | A Trusted Nurse Practitioner | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2020-02-13 |
| 1023674041 | Roxanne Nicole Bultron | Physical Therapy Assistant | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-05-15 |
| 1568924256 | Elizabeth Townleys Harmony Healthcare LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-04-02 |
| 1750855615 | Hodge & Company LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-01-14 |
| 1285113852 | Jude Alvin Velez | Physical Therapist | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2018-08-14 |
| 1457860611 | Rebecca Judkins | Occupational Therapist | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2017-09-20 |
| 1093251449 | Toni Hodson | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2017-01-10 |
| 1790148286 | Christopher Hyche | Occupational Therapist | 235 W Airport Blvd, Pensacola, FL 32505 | 2016-04-01 |
| 1306207592 | Sarah Weber | Speech-Language Pathologist | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2016-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203610 | Tekisha S Steele | Homemaker | 4503 Lemoyne Lane, Pensacola, FL 32505 | 2020-07-28 |
| 1225491269 | Darren Hohaus | Counselor | Florida Therapy Services, Inc., 6520 N. Pensacola Blvd., Office Park North, 2nd Building, Pensacola, FL 32505 | 2016-03-29 |
| 1881933091 | Elizabeth Anne Cremeans | Occupational Therapist | 325 W. Airport Blvd, Pensacola, FL 32505 | 2013-02-07 |
| 1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
| 1447553128 | Stern Family Chiropractic, LLC | Chiropractor | 5505 North W Street, Pensacola, FL 32505 | 2010-12-17 |
| 1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
| 1497809594 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6810 N. Davis Highway, Pensacola, FL 32505 | 2007-01-23 |
| 1578658308 | James J Adams | Pharmacist | 5975 Mobile Highway, Pensacola, FL 32505 | 2006-10-04 |
| 1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
| 1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
| Find all providers in zip 32505 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521725 | Shanna Sowell | Nurse Practitioner | 3510 Dunfries Rd, Pensacola, FL 32503-4237 | 2020-06-08 |
| 1992000566 | Betty Carolyn Brannon | Nurse Practitioner | 10075 Hillview Rd, Pensacola, FL 32514-5469 | 2011-01-12 |
| 1184670424 | Elizabeth Ann Ford | Nurse Practitioner | 4020 Alvar Dr, Pensacola, FL 32504-4405 | 2006-05-26 |
| 1104815455 | Vicki Pauline Merold | Nurse Practitioner | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514 | 2005-10-19 |
| 1730747874 | Jodilyn Grace Holz | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-06-04 |
| 1528528981 | Kasey Mcdowell Bowers | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-03-21 |
| 1750855615 | Hodge & Company LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-01-14 |
| 1659843951 | Ashleigh Skipper | Nurse Practitioner | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2018-12-26 |
| 1275077307 | Laura Alise Mears | Nurse Practitioner | 1549 Airport Blvd, 440, Pensacola, FL 32504-2266 | 2016-12-08 |
| 1679015457 | Denise Helen Suri | Nurse Practitioner | 1100 Airport Blvd, Blvd. B, Pensacola, FL 32504-8631 | 2016-11-10 |
| 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.