ALAN I. SACKS (NPI# 1720094162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720094162 |
| Entity Type | Individual |
| Full Name | ALAN I. SACKS |
| Credential | MD |
| Practice Address |
1675 Trinity Dr Pensacola FL 32504-5708 |
| Mailing Address |
Po Box 2699 Attn: Shmg/hpe Pensacola FL 32513-2699 |
| Practice Telephone | 8504161575 |
| Practice Fax Number | 8504167435 |
| Mailing Telephone | 8504161575 |
| Mailing Fax Number | 8504167435 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
ME79325 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257679100 | 05 | |
| AL | 009928760 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265407183 | Alan Jeffrey Sacks | Obstetrics & Gynecology | 2020 Goldring Ave, Suite 404, Las Vegas, NV 89106-4000 | 2006-02-22 |
| 1528187341 | Alan Sacks | Dentist | 1129 Bloomfield Ave, West Caldwell, NJ 07006-7127 | 2007-03-29 |
| Street Address |
1675 TRINITY DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634398 | David Shapiro | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504 | 2006-01-24 |
| 1922583525 | Elizabeth Burgess | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504 | 2018-09-28 |
| 1548758600 | Christy Nguyen Ladd | Dietitian, Registered | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2018-04-24 |
| 1629566781 | Kelsey Lynne Wilson | Dietitian, Registered | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2018-04-24 |
| 1710475876 | Calee-lynn J. Taylor | Dietitian, Registered | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2018-04-24 |
| 1023351053 | Callah Antonetti | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2013-03-27 |
| 1306196019 | Nesrin C Yurttutan-engin | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2012-09-11 |
| 1164719597 | Amanda Ledbetter Strobel | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2011-07-06 |
| 1396031126 | Matthew Leland Furst | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2011-06-20 |
| 1740414945 | Ashley Shirah | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504-5708 | 2009-05-04 |
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| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821264565 | Angela Elaine Smith | Pediatrics | 8331 N Davis Hwy, Pensacola, FL 32514-6094 | 2008-05-02 |
| 1497957575 | Esteban L. Bonfante | Pediatrics | 8331 N Davis Hwy, Pensacola, FL 32514-6094 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821510959 | Thiru S. Arasu M.d., P.a. | Pediatrics | 2734 Windguard Cir Ste 102, Wesley Chapel, FL 33544-7362 | 2017-07-11 |
| 1194068973 | Christina Baldwin Chadwick | Pediatrics | 1600 Sw Archer Rd # Hd606, Gainesville, FL 32610 | 2013-03-31 |
| 1467719492 | Osman Zaki Ahmad | Pediatrics | 1690 Dunlawton Ave Ste 110, Port Orange, FL 32127-8980 | 2012-04-16 |
| 1912233974 | Thiru S. Arasu, Md, Pa | Pediatrics | 501 Dr Martin Luther King St S, St Petersburg, FL 33705-1814 | 2009-10-27 |
| 1720314164 | Yonathan Fuchs | Pediatrics | 1150 N 35th Ave Ste 545, Hollywood, FL 33021-5468 | 2009-10-20 |
| 1760629497 | Children's Gastroenterology of Sw Florida | Pediatrics | 9800 S Healthpark Drive, Suite 145, Fort Myers, FL 33908 | 2009-01-16 |
| 1821255027 | Thiru S. Arasu, M.d., P.a. | Pediatrics | 15045 Bruce B Downs Blvd, Tampa, FL 33647-1388 | 2008-05-16 |
| 1952503674 | Roberto A Gomez-suarez | Pediatrics | 1717 South Orange Ave., Suite #100, Melbourne, FL 32901-3224 | 2007-06-04 |
| 1659422335 | David J Bailey | Pediatrics | 4600 Touchton Rd E, Suite 2500, Jacksonville, FL 32246-8299 | 2007-01-16 |
| 1396803912 | Andrew Robert Edelstein | Pediatrics | 10200 West State Road 84, Suite 101, Davie, FL 33324 | 2006-12-05 |
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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.