BAPTIST MEDICAL PARK SURGERY CENTER, LLC (NPI# 1760875983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760875983 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEDICAL PARK SURGERY CENTER, LLC |
| Practice Address |
9400 University Pkwy Suite 102 Pensacola FL 32514-5752 |
| Practice Telephone | 8502086330 |
| Practice Fax Number | 8502086335 |
| Mailing Telephone | 8502086330 |
| Mailing Fax Number | 8502086335 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | JOHN PORTER (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 8504692338 |
| Authorized Official Credential | VP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
412 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 070620500 | 05 |
| Street Address |
9400 UNIVERSITY PKWY SUITE 102 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-5752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083876 | Bascom Clarence Raney | Family Medicine | 9400 University Pkwy, Suite 409, Pensacola, FL 32514-5752 | 2005-06-16 |
| 1780235390 | Kristina Ducharme | Physical Therapy Assistant | 9400 University Pkwy, Pensacola, FL 32514-5752 | 2019-09-25 |
| 1275196719 | Rahul Dasari | Occupational Therapist | 9400 University Pkwy, Pensacola, FL 32514-5752 | 2019-04-19 |
| 1174036040 | Melissa A Christison | Nurse Practitioner | 9400 University Pkwy, Pensacola, FL 32514-5752 | 2017-11-14 |
| 1356867956 | James Brad Hall | Physical Therapist | 9400 University Pkwy, Pensacola, FL 32514-5752 | 2017-08-16 |
| 1740702026 | William Coggin | Physical Therapist | 9400 University Pkwy, Pensacola, FL 32514-5752 | 2017-07-08 |
| 1225578107 | John Neill | Physician Assistant | 9400 University Pkwy, Suite 309, Pensacola, FL 32514-5752 | 2017-02-27 |
| 1811430127 | Anna Jean Mcgee | Pharmacist | 9400 University Pkwy, Suite 118, Pensacola, FL 32514-5752 | 2016-11-18 |
| 1114477346 | Ashley Nicole Collins | Physician Assistant | 9400 University Pkwy, Pensacola, FL 32514 | 2016-10-12 |
| 1083070502 | Lindsay Phebus | Psychologist | 9400 University Pkwy, Suite 200, Pensacola, FL 32514-5752 | 2016-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033468442 | Cornerstone Surgicare LLC | Clinic/Center | 511 Hewitt Street, Pensacola, FL 32503 | 2012-08-30 |
| 1144291923 | Interventional Therapeutics Institute, LLC | Clinic/Center | 5102 N Davis Hwy, Pensacola, FL 32503-2030 | 2006-01-30 |
| 1033113402 | Northwest Florida Surgical Center, Inc. | Clinic/Center | 4600 N Davis Hwy, Pensacola, FL 32503 | 2005-06-13 |
| 1881131621 | Fresenius Vascular Care of Pensacola Asc LLC | Clinic/Center | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2017-01-31 |
| 1891161154 | Advanced Surgery Center LLC | Clinic/Center | 6100 N Davis Hwy, Pensacola, FL 32504-6950 | 2015-08-20 |
| 1760724314 | Henghold Surgery Center LLC | Clinic/Center | 530 Fontaine St, Pensacola, FL 32503-2019 | 2013-03-21 |
| 1417077090 | Baptist Medical Park Surgery Center LLC | Clinic/Center | 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 | 2007-03-29 |
| 1942344106 | Southeast Association of Healthcare Providers Inc | Clinic/Center | 5330 N Davis Hwy, Pensacola, FL 32503-2006 | 2007-02-19 |
| 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.