FRESENIUS VASCULAR CARE OF PENSACOLA ASC LLC (NPI# 1881131621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881131621 |
Entity Type | Organization |
Organization Name | FRESENIUS VASCULAR CARE OF PENSACOLA ASC LLC |
Other Organization Name | AZURA SURGERY CENTER RENALUS PENSACOLA |
Practice Address |
1619 Creighton Rd Pensacola FL 32504-7152 |
Mailing Address |
40 Valley Stream Pkwy Suite 100 Malvern PA 19355-1407 |
Practice Telephone | 8504663843 |
Enumeration Date | 2017-01-31 |
Last Update Date | 2020-04-24 |
Authorized Official Name | JEFFREY E. SNODGRASS (PRESIDENT) |
Authorized Official Telephone | 6106448900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Azura Surgery Center Renalus Pensacola | Doing Business As Name - Organization |
Street Address |
1619 CREIGHTON RD |
City | PENSACOLA |
State | FL |
Zip Code | 32504-7152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376545566 | Humam Humeda | Internal Medicine | 1619 Creighton Rd, Ste 1, Pensacola, FL 32504-7152 | 2005-06-01 |
1720621774 | Aubri Rihan Velez | Rehabilitation Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2019-10-22 |
1992361372 | Danielle Smyly | Nurse Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2019-05-11 |
1578098695 | Priscilla Christine Phan | Physician Assistant | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2017-04-26 |
1023405222 | Nicole Anne Clem | Nurse Practitioner | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2015-04-25 |
1285031963 | Fresenius Vascular Care Pensacola LLC | Radiology | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2014-11-25 |
1598199804 | Erin Elizabeth Luescher | Physician Assistant | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2013-08-23 |
1417296401 | Cindy Kathleen Lawrence | Nurse Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2013-02-11 |
1841265253 | Haitham O Qader | Internal Medicine | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2006-02-20 |
1285636472 | Ronnie D Wiles | Internal Medicine | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2005-06-01 |
Find all providers in the same location |
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 | 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 |
1891161154 | Advanced Surgery Center LLC | Clinic/Center | 6100 N Davis Hwy, Pensacola, FL 32504-6950 | 2015-08-20 |
1760875983 | Baptist Medical Park Surgery Center, LLC | Clinic/Center | 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 | 2015-03-12 |
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.