SACRED HEART HOSPITAL OF PENSACOLA (NPI# 1730790551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730790551 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Practice Address |
1890 Summit Blvd Pensacola FL 32503 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 8504949001 |
| Practice Fax Number | 8504732759 |
| Mailing Telephone | 9044506004 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | JEAN VALLIER (DIRECTOR ENROLLMENT) |
| Authorized Official Telephone | 9044506005 |
| Is Organization Subpart | Y |
| Parent Organization Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Sacred Heart Medical Group #08 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831615293 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 13137 Sorrento Rd Ste E, Pensacola, FL 32507-8777 | 2017-08-17 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1528539061 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-12-10 |
| 1619494366 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2017-08-24 |
| 1306363007 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2017-08-24 |
| 1205376480 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 6314 N 9th Ave, Pensacola, FL 32504-7320 | 2017-03-07 |
| 1629518998 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2017-03-06 |
| 1881134153 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2017-03-06 |
| 1790225068 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 3909 Highway 90, Pace, FL 32571-1915 | 2017-03-06 |
| 1326099763 | Sacred Heart Hospital of Pensacola | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-8715 | 2006-05-12 |
| Street Address |
1890 SUMMIT BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503 |
| 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 |
| 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 |
| 1740686195 | Tara English | Nurse Practitioner | 180 E Burgess Rd Ste F, Pensacola, FL 32503 | 2014-11-12 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629049408 | Kinley Wayne Howard | Podiatrist | 8550 Scenic Hwy Apt G, Pensacola, FL 32514-7921 | 2006-01-30 |
| 1801885116 | Michael Ross Allen | Podiatrist | 4850 N 9th Ave, Pensacola, FL 32503-2407 | 2005-10-19 |
| 1184612186 | Paul Davis Brooks | Podiatrist | 2201 E Nine Mile Rd, Pensacola, FL 32514-7772 | 2005-10-12 |
| 1952868200 | Dale M Kaplan Dpm LLC | Podiatrist | 4311 Bayou Blvd Apt A8, Pensacola, FL 32503-2621 | 2019-02-22 |
| 1154817864 | Dale M Kaplan Dpm LLC | Podiatrist | 4311 Bayou Blvd Apt A8, Pensacola, FL 32503-2621 | 2018-07-05 |
| 1629522008 | Mghmi | Podiatrist | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2016-08-15 |
| 1013368257 | Carmelita Leslie Harbeson | Podiatrist | 2110 N Palafox St, Pensacola, FL 32501 | 2016-06-29 |
| 1598151375 | Matthew Earl Cummins | Podiatrist | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2015-04-08 |
| 1457771156 | Joseph Musmanno | Podiatrist | 450 Turner St, Nhbc - Podiatry, Pensacola, FL 32508-5211 | 2014-04-21 |
| 1679851208 | John Aker | Podiatrist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2011-08-01 |
| 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.