Ethan M Gore (NPI# 1003136987, PAC ID# 0042459489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1003136987 |
| PAC ID by PECOS | 0042459489 |
| Professional Enrollment ID | I20160711001844 |
| Full Name | Ethan M Gore |
| Organization Legal Name | WEST FLORIDA MEDICAL CENTER CLINIC PA |
| Address |
8333 N Davis Hwy Pensacola FL 32514-6050 |
| Phone Number | 8504748000 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 7416860705 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| 100025 | SACRED HEART HOSPITAL |
| 100093 | BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 8504748000 | WEST FLORIDA MEDICAL CENTER CLINIC PA |
| Organization Legal Name | WEST FLORIDA MEDICAL CENTER CLINIC PA |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek Jones | Otolaryngology | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Melissa D Kelly | Nurse Practitioner | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Kevin L Welch | Dermatology | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Robert Barry Lurate | Orthopedic Surgery | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Jennifer M Werrell | Optometry | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Meghan J Martin | Nurse Practitioner | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| John D Lopez | Certified Registered Nurse Anesthetist (crna) | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Adam Matthias Holdt | Otolaryngology | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Jessica Lara Harris | Physician Assistant | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Frank King Lee | Certified Registered Nurse Anesthetist (crna) | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Street Address |
8333 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip | 32514-6050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek Jones | Otolaryngology | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Melissa D Kelly | Nurse Practitioner | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Kevin L Welch | Dermatology | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Robert Barry Lurate | Orthopedic Surgery | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Jennifer M Werrell | Optometry | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Meghan J Martin | Nurse Practitioner | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| John A Tucker | Vascular Surgery | John A Tucker Md Pa | 8333 N Davis Hwy, 10th Floor, Pensacola, FL 32514-6050 |
| John D Lopez | Certified Registered Nurse Anesthetist (crna) | West Florida Medical Center Clinic Pa | 8333 N Davis Hwy, Pensacola, FL 32514-6050 |
| Robert B Turnage | Vascular Surgery | West Florida Specialty Physicians LLC | 8333 N Davis Hwy, 4th Floor, Pensacola, FL 32514-6050 |
| Victor F Hultstrand | Obstetrics/gynecology | West Florida Internal Medicine LLC | 8333 N Davis Hwy, 2nd Floor, Pensacola, FL 32514-6050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Brian Comitalo | General Surgery | West Florida Specialty Physicians LLC | 8333 N Davis Hwy, 5th Floor, Pensacola, FL 32514 |
| Suzanne Marie Day | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Susan J Summerton | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Brandi C Slapkunas | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Clyde D Reynolds | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Rodney W Schulze | Chiropractic | 965 E Nine Mile Rd, Pensacola, FL 32514-1648 | |
| Vicki P Merold | Nurse Practitioner | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Jose Antonio Guitian | Cardiovascular Disease (cardiology) | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Serda C Hawthorne | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Find all physicians in zip 32514 | |||
| City | PENSACOLA |
| Zip Code | 32514 |
| Specialty | NEUROLOGY |
| City + Specialty | PENSACOLA + NEUROLOGY |
Please comment or provide details below to improve the information on Ethan M Gore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.