SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC


Address: 5992 Berryhill Rd, Suite 205, Milton, FL 32570-1013
Phone: 8509810320

SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC (NPI# 1891093100) 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) 1891093100
Entity Type Organization
Organization Name SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
Other Organization Name SANTA ROSA MEDICAL GROUP
Practice Address 5992 Berryhill Rd
Suite 205
Milton
FL 32570-1013
Mailing Address 5811 Pelican Bay Blvd
Suite 500
Naples
FL 34108-2733
Practice Telephone 8509810320
Practice Fax Number 8509810321
Mailing Telephone 2395983131
Mailing Fax Number 2395920438
Enumeration Date 2011-03-10
Last Update Date 2012-11-27
Authorized Official Name MR. MICHAEL L GINGRAS (VICE PRESIDENT)
Authorized Official Telephone 2395983131
Is Organization Subpart Y
Parent Organization Name HEALTH MANAGEMENT ASSOCIATES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Santa Rosa Medical Group Doing Business As Name - Organization

Office Location

Street Address 5992 BERRYHILL RD
SUITE 205
City MILTON
State FL
Zip Code 32570-1013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992780936 Santa Rosa Surgical Associates, Pa Surgery 5992 Berryhill Rd, Suite 104, Milton, FL 32570-1013 2005-12-13
1477090470 Caitlin Chantae Mosley Physician Assistant 5992 Berryhill Rd, Suite 302, Milton, FL 32570-1013 2017-01-27
1134550056 Van Brandon Foles Surgery 5992 Berryhill Rd, Suite 203, Milton, FL 32570-1013 2013-12-03
1477828614 Tiana Natal Nygaard Physician Assistant 5992 Berryhill Rd, 300, Milton, FL 32570-1013 2012-03-21
1396022646 Brittany A.g. Smith Physician Assistant 5992 Berryhill Rd, Ste 302, Milton, FL 32570-1013 2011-11-14
1275844870 Ricardo Kevin Mohammed Surgery 5992 Berryhill Rd, Suite 203, Milton, FL 32570-1013 2010-06-29
1154559409 Mark J Elder Do Pa Family Medicine 5992 Berryhill Rd, Milton, FL 32570-1013 2009-06-25
1871744730 Shane Catherine Ward Nurse Practitioner 5992 Berryhill Rd, Suite 201, Milton, FL 32570-1013 2008-10-08
1790956472 Santa Rosa Gastroenterology Internal Medicine 5992 Berryhill Rd, Suite 201, Milton, FL 32570-1013 2008-03-20
1154522175 Mohamed Badr Sultan Psychiatry & Neurology 5992 Berryhill Rd, Suite 104, Milton, FL 32570-1013 2007-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902365604 Megan Lasure Behavior Technician 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 2019-03-13
1104328681 Katherine Smith Lockler Foster Care Agency 6357 Brigadier Road, Milton, FL 32570 2018-03-01
1750565768 Emerald Coast Surgical Specialists Pa Surgery 5992 Berryhill Road, 203, Milton, FL 32570 2007-12-27
1285815662 Chandria Lynn Johnson Md Pa Obstetrics & Gynecology 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 2007-11-14
1659590255 Medical Associates Ltd Specialist 5950 Berryhill Medical, Milton, FL 32570 2007-04-24
1255404620 Jonathan E Fountain Md Family Medicine 5976 Berryhill Rd, Milton, FL 32570 2006-11-15
1043317530 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 6501 Caroline St Hwy 90, Milton, FL 32570 2006-09-19
1497764484 Jennfer A Godfrey Speech-Language Pathologist 5165 Canal Street, Milton, FL 32570 2006-08-07
1316977135 Rural Metro of North Florida Inc Ambulance 4930 Glover Lane, Milton, FL 32570 2006-07-04
1558304519 Pensacola Nephrology Pa Specialist 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 2006-06-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629344106 Megan Pearl Malgeri Family Medicine 28 Centre Dr., Uvm Medical Center - Milton Family Medicine, Milton, VT 05468-3104 2012-03-28
1992098412 Paul Kendall Pulchny Family Medicine 630 Mulberry St, Milton, DE 19968-1516 2011-05-17
1710297957 Harry David Perkins Family Medicine 12489 Danesfeld Dr, Milton, GA 30004-6694 2010-10-20
1568790848 Sidharth Sharma Family Medicine 980 Birmingham Rd Ste 304, Milton, GA 30004-4418 2009-11-25
1730323387 Mehul Danawala Family Medicine 155 S Arch St Ste B, Milton, PA 17847-1172 2009-04-27
1780742072 James Keith Festa Family Medicine 1687 Route 9w, Milton, NY 12547-5433 2006-12-05
1265508774 Anita Tabor Dawson Family Medicine 1798 Midland Tr, Us Rt 60e, Milton, WV 25541-9507 2006-11-27
1255404620 Jonathan E Fountain Md Family Medicine 5976 Berryhill Rd, Milton, FL 32570 2006-11-15
1255424248 Donald G Klinestiver Family Medicine 1028 Mason St, Milton, WV 25541 2006-10-02
1265545255 Abby Marissa Hunt Family Medicine 3874 Highway 90 Ste 201, Milton, FL 32571-1014 2006-08-16
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Competitor

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City MILTON
Zip Code 32570

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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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