SACRED HEART ASC, LLC (NPI# 1891312815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891312815 |
| Entity Type | Organization |
| Organization Name | SACRED HEART ASC, LLC |
| Practice Address |
1890 Summit Boulevard Suite 210 Pensacola FL 32503 |
| Practice Telephone | 8334191325 |
| Practice Fax Number | 8448535049 |
| Mailing Telephone | 8334191325 |
| Mailing Fax Number | 8448535049 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MR. COY WELLS (MANAGER) |
| Authorized Official Telephone | 2059992864 |
| 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 |
| Street Address |
1890 SUMMIT BOULEVARD SUITE 210 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| 1740686195 | Tara English | Nurse Practitioner | 180 E Burgess Rd Ste F, Pensacola, FL 32503 | 2014-11-12 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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.