OUR LADY OF ANGELS, ST. JOSEPH MEDICAL CLINIC, INC (NPI# 1831523612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831523612 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF ANGELS, ST. JOSEPH MEDICAL CLINIC, INC |
| Practice Address |
131 W. Intendencia St. Pensacola FL 32502 |
| Mailing Address |
131 W. Intendencia St Pensacola FL 32502 |
| Practice Telephone | 8504348162 |
| Practice Fax Number | 8504348996 |
| Mailing Telephone | 8504348162 |
| Mailing Fax Number | 8504348996 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-30 |
| Authorized Official Name | DR. DAVID CONKLE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8504348162 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
131 W. INTENDENCIA ST. |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| 1730269200 | David E Lemay | Specialist | 100 S Baylen St Ste A, Pensacola, FL 32502 | 2006-10-17 |
| Find all providers in zip 32502 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609146760 | Pensacola Family Practice | Clinic/Center | 5500 N Davis Hwy Ste 3, Pensacola, FL 32503-2063 | 2012-01-06 |
| 1669689121 | Tara Littlejohn Gonzales Md - Arbor Pediatrics | Clinic/Center | 4220 N Davis Hwy # A-200, Pensacola, FL 32503-2752 | 2007-05-16 |
| 1932708617 | Grace Family Practice | Clinic/Center | 6470 Tippin Ave, Pensacola, FL 32504-8143 | 2020-10-22 |
| 1881293587 | Graceland Family Practice | Clinic/Center | 6470 Tippin Ave, Pensacola, FL 32504-8143 | 2020-10-22 |
| 1114542867 | Miguel A Gutierrez-diaz, D.o., Pllc | Clinic/Center | 4700 Bayou Blvd Ste 2c, Pensacola, FL 32503-2670 | 2020-06-09 |
| 1205384336 | Sacred Heart Medical Group | Clinic/Center | 1549 Airport Blvd, 200a, Pensacola, FL 32504-8633 | 2016-09-19 |
| 1629467717 | Manning Hanline, Jr., M.d. | Clinic/Center | 1717 N E St, Ste 526, Pensacola, FL 32501-6339 | 2015-01-13 |
| 1215349535 | Wayne S. Willis Md LLC | Clinic/Center | 3111 Peggy Bond Dr, Pensacola, FL 32504-5018 | 2014-05-21 |
| 1326461609 | Scenic Primary Care Medical Clinic LLC | Clinic/Center | 8105 Scenic Hwy, Pensacola, FL 32514-7806 | 2014-01-22 |
| 1356762660 | Pensacola Medical Clinic, LLC | Clinic/Center | 2407 W Cervantes St, Pensacola, FL 32505-7150 | 2014-01-04 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on OUR LADY OF ANGELS, ST. JOSEPH MEDICAL CLINIC, INC.
| 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.