FRESENIUS VASCULAR CARE OF PENSACOLA ASC LLC


Address: 1619 Creighton Rd, Pensacola, FL 32504-7152
Phone: 8504663843

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Azura Surgery Center Renalus Pensacola Doing Business As Name - Organization

Office Location

Street Address 1619 CREIGHTON RD
City PENSACOLA
State FL
Zip Code 32504-7152

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City PENSACOLA
Zip Code 32504

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Dataset Information

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.

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