DR. CHARLES JOSEPH SCHILDROTH JR. (NPI# 1740334655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740334655 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JOSEPH SCHILDROTH JR. |
| Credential | DMD |
| Practice Address |
5120 Bayou Blvd Ste.4 Pensacola FL 32503-2193 |
| Practice Telephone | 8504773188 |
| Practice Fax Number | 8504776776 |
| Mailing Telephone | 8504773188 |
| Mailing Fax Number | 8504776776 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN011910 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED CONCORDIA | 724127 | 01 |
| FL | UNITED HEALTHCARE | 25852 | 01 |
| FL | 995573 | COMPBENEFITS | 01 |
| FL | 9830 | SAFEGUARD | 01 |
| FL | 109808 | AETNA | 01 |
| Street Address |
5120 BAYOU BLVD STE.4 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2193 |
| 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 |
| 1710081013 | Angel Williamson Imaging Center P A | Radiology | 5120 Bayou Blvd, Suite 9, Pensacola, FL 32503 | 2006-09-08 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821611534 | Kyle Penland | Dentist | 1308 W Nine Mile Rd Ste 9, Pensacola, FL 32534-1761 | 2020-05-28 |
| 1538416888 | Nathaniel Scott Durtschi | Dentist | 1108 Airport Blvd Ste B, Pensacola, FL 32504-8623 | 2012-08-06 |
| 1114285715 | 29 Dental | Dentist | 2850 Monroe St, Pensacola, FL 32514-7656 | 2012-05-02 |
| 1740552066 | Thomas Ando Campanella | Dentist | 907 N New Warrington Rd, Pensacola, FL 32506-4250 | 2012-02-01 |
| 1033371174 | Gulf Coast Family Dentistry | Dentist | 3101 W Michigan Ave, Pensacola, FL 32526-1869 | 2008-06-30 |
| 1902004781 | Jeffrey J Kates | Dentist | 2136 W Fairfield Dr, Pensacola, FL 32505-5132 | 2007-07-03 |
| 1578766069 | Franklin E. May,dds,pa | Dentist | 103 S Navy Blvd, Pensacola, FL 32507-3603 | 2007-06-11 |
| 1245449180 | Mcgilvray Dental, P.a. | Dentist | 6029 N 9th Ave, Pensacola, FL 32504-8200 | 2007-05-21 |
| 1861600553 | Lamont Canada | Dentist | 2401 Executive Plaza Rd Ste D, Pensacola, FL 32504-8275 | 2007-05-18 |
| 1902010713 | Charles E. Stamitoles | Dentist | 1025 Creighton Rd, Pensacola, FL 32504-7031 | 2007-05-10 |
| 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.