ANGEL WILLIAMSON IMAGING CENTER P A (NPI# 1710081013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710081013 |
| Entity Type | Organization |
| Organization Name | ANGEL WILLIAMSON IMAGING CENTER P A |
| Other Organization Name | PENSACOLA DIAGNOSTIC CENTER AND BREAST CLINIC ANGEL WILLIAMSON WOMENS |
| Practice Address |
5120 Bayou Blvd Suite 9 Pensacola FL 32503 |
| Practice Telephone | 8504761161 |
| Practice Fax Number | 8504761550 |
| Mailing Telephone | 8504761161 |
| Mailing Fax Number | 8504761550 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. MICHAEL J WILLIAMSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8504761161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | V2944 | 01 |
| FL | 373112000 | 05 | |
| FL | RAILROAD MEDICARE | CA2365 | 01 |
| Other Name | Type Code |
|---|---|
| Pensacola Diagnostic Center And Breast Clinic Angel Williamson Womens | Former Legal Business Name - Organization |
| Street Address |
5120 BAYOU BLVD SUITE 9 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164535514 | Louis M. Makarowski | Psychologist | 5120 Bayou Blvd, Suite #6, Pensacola, FL 32503-2193 | 2006-08-17 |
| 1821543828 | Suarez Rehabilitation Associates | Clinic/Center | 5120 Bayou Blvd, Suite 6, Pensacola, FL 32503-2193 | 2016-08-18 |
| 1124398417 | Louis M. Makarowski, Ph.d., P.a. | Psychologist | 5120 Bayou Blvd, Suite 6, Pensacola, FL 32503-2193 | 2012-01-04 |
| 1043519614 | Juan Suarez | Speech-Language Pathologist | 5120 Bayou Blvd, Suite 6, Pensacola, FL 32503-2193 | 2011-03-22 |
| 1588843981 | Cordova Orthopaedic Associates Pa | Specialist | 5120 Bayou Blvd, Suite 2, Pensacola, FL 32503-2135 | 2007-11-01 |
| 1740334655 | Charles Joseph Schildroth Jr. | Dentist | 5120 Bayou Blvd, Ste.4, Pensacola, FL 32503-2193 | 2007-01-22 |
| 1780788083 | Angel Y Williamson | Radiology | 5120 Bayou Blvd, Ste 9, Pensacola, FL 32503 | 2006-09-08 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215382437 | Bay Area Radiology, PC | Radiology | 4771 Bayou Blvd, Pensacola, FL 32503-1930 | 2016-04-25 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1710272661 | Daniel Garvin | Radiology | 6000 W 98 Hwy, Pensacola, FL 32512-2111 | 2011-06-17 |
| 1326061169 | Thomas M Pulling | Radiology | 1717 N E St Ste 300, Pensacola, FL 32501-6336 | 2006-07-25 |
| 1972548139 | Frederick Carl Wendt | Radiology | 8333 North Davis Hwy, Medical Center Clinic/radiology Dep, Pensacola, FL 32514 | 2006-06-19 |
| 1134192289 | Joseph Jay Crittenden | Radiology | 8909 Burning Tree Rd, Pensacola, FL 32514-5610 | 2006-02-09 |
| 1265404040 | William Raymond Bender | Radiology | 33 Lakeside Dr, Pensacola, FL 32507-3407 | 2006-02-06 |
| 1407835168 | Shannon Randall Hobgood | Radiology | 3050 Magnolia Ave, Pensacola, FL 32503-4179 | 2006-01-11 |
| 1891777520 | G. Terral King | Radiology | 4996 N Davis Hwy, Pensacola, FL 32503-2344 | 2005-11-17 |
| 1073518882 | Donald W Farmer | Radiology | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2005-06-17 |
| 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.