| Medical Center Clinic | |
|
8333 N Davis Hwy Pensacola FL 32514-6050 | |
| (850) 474-8000 | |
| (850) 474-8275 |
| Full Name | Medical Center Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8333 N Davis Hwy, Pensacola, Florida |
| Authorized Official Name and Position | Marshall Andy Popple (EXECUTIVE VP) |
| Authorized Official Contact | 8504748724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Clinic 8333 N Davis Hwy Pensacola FL 32514-6050 Ph: (850) 478-8100 | Medical Center Clinic 8333 N Davis Hwy Pensacola FL 32514-6050 Ph: (850) 474-8000 |
| NPI Number | 1568452688 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 7416860705 |
|---|---|
| Medicare Enrollment ID | O20031113000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568452688 | NPI | - | NPPES |
| CJ0195 | Other | RAILROAD MEDICARE | |
| 000810075 | Medicaid | AL | |
| 00147 | Other | FL | BLUE SHIELD |
| 060060100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kevin Jason Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659366763 PECOS PAC ID: 3375446172 Enrollment ID: I20040129000515 |
| Provider Name | Chi Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194792309 PECOS PAC ID: 0749273589 Enrollment ID: I20040406001789 |
| Provider Name | Steven Ray Lenga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669473633 PECOS PAC ID: 7315932399 Enrollment ID: I20040419000857 |
| Provider Name | Charles P Riley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629141411 PECOS PAC ID: 7012903834 Enrollment ID: I20040426000277 |
| Provider Name | Casey Dull |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508840356 PECOS PAC ID: 8022006535 Enrollment ID: I20040504000519 |
| Provider Name | Jason J Marshall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407855505 PECOS PAC ID: 3971594011 Enrollment ID: I20040519000393 |
| Provider Name | Daniel S Noyes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417941832 PECOS PAC ID: 2668462383 Enrollment ID: I20040521000704 |
| Provider Name | Carl E Blunck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689646473 PECOS PAC ID: 6901796275 Enrollment ID: I20040521000895 |
| Provider Name | Christopher J Dorvault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295729689 PECOS PAC ID: 5890771232 Enrollment ID: I20040626000399 |
| Provider Name | Samer Al Shurieki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578546784 PECOS PAC ID: 4183602378 Enrollment ID: I20040713001020 |
| Provider Name | Gayla D Rowland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962482927 PECOS PAC ID: 1254302193 Enrollment ID: I20040804000133 |
| Provider Name | Judy A Purvis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073609566 PECOS PAC ID: 5991765224 Enrollment ID: I20041012000928 |
| Provider Name | Elizabeth Benson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831166438 PECOS PAC ID: 2769446053 Enrollment ID: I20041116001001 |
| Provider Name | Roman Kesler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730163114 PECOS PAC ID: 5799759585 Enrollment ID: I20041207000912 |
| Provider Name | Ruth A Henchey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235113275 PECOS PAC ID: 9830149699 Enrollment ID: I20050128000648 |
| Provider Name | Charles Mayfield |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245207885 PECOS PAC ID: 9335164672 Enrollment ID: I20051006000174 |
| Provider Name | David L Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871589440 PECOS PAC ID: 1850314816 Enrollment ID: I20060105000552 |
| Provider Name | John J Salvaggio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730174673 PECOS PAC ID: 6406879477 Enrollment ID: I20060105000620 |
| Provider Name | Charles W Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184619926 PECOS PAC ID: 6608899570 Enrollment ID: I20060105000695 |
| Provider Name | Henry C Lusane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184690893 PECOS PAC ID: 5395758726 Enrollment ID: I20060801000150 |
| Provider Name | Jennifer Reeves Laborde |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699758383 PECOS PAC ID: 2567464456 Enrollment ID: I20070206000234 |
| Provider Name | Donald M Dewey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851394613 PECOS PAC ID: 1557337797 Enrollment ID: I20070317000054 |
| Provider Name | Janet Bills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104847839 PECOS PAC ID: 3072616739 Enrollment ID: I20070317000071 |
| Provider Name | Kevin R Dunlap |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316956790 PECOS PAC ID: 4880792308 Enrollment ID: I20070607000241 |
| Provider Name | Heather F Reese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568445773 PECOS PAC ID: 7315047248 Enrollment ID: I20070706000545 |
| Provider Name | Timothy B Mclaughlin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407839194 PECOS PAC ID: 6002996220 Enrollment ID: I20071231000075 |
| Provider Name | Amit G Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811903867 PECOS PAC ID: 9931139342 Enrollment ID: I20080408000319 |
| Provider Name | Vashti Hellein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386757631 PECOS PAC ID: 0749210151 Enrollment ID: I20080408000480 |
| Provider Name | Eric F Mutz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851404107 PECOS PAC ID: 0547347007 Enrollment ID: I20080408000663 |
| Provider Name | Richard S Samuels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700995693 PECOS PAC ID: 6103856513 Enrollment ID: I20080408000692 |
| Provider Name | Robert M Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043323389 PECOS PAC ID: 4183684277 Enrollment ID: I20080408000715 |
| Provider Name | John D Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073505202 PECOS PAC ID: 4284713520 Enrollment ID: I20080512000312 |
| Provider Name | Luis R Navas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770569238 PECOS PAC ID: 7517038417 Enrollment ID: I20080620000245 |
| Provider Name | Jennifer M Werrell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033146964 PECOS PAC ID: 7012932189 Enrollment ID: I20081031000097 |
| Provider Name | Brian S Kirby |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588751473 PECOS PAC ID: 4880745363 Enrollment ID: I20090623000378 |
| Provider Name | Nicholaus Hilliard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619170552 PECOS PAC ID: 5092869677 Enrollment ID: I20090817000267 |
| Provider Name | Robert Blanchard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689640286 PECOS PAC ID: 8921146580 Enrollment ID: I20091119000191 |
| Provider Name | David Gaston |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1205818283 PECOS PAC ID: 4587704416 Enrollment ID: I20091228000123 |
| Provider Name | Stephen Slobodian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386627347 PECOS PAC ID: 8921148867 Enrollment ID: I20091228000167 |
| Provider Name | William Van Aldred |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871576553 PECOS PAC ID: 3173663010 Enrollment ID: I20091228000198 |
| Provider Name | Jerry Allen Suelflow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467435156 PECOS PAC ID: 0143361766 Enrollment ID: I20100105000372 |
| Provider Name | Rachel S Fagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982686101 PECOS PAC ID: 3971644188 Enrollment ID: I20100111000357 |
| Provider Name | Stephen H Kimura |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891776563 PECOS PAC ID: 9234271859 Enrollment ID: I20100120000674 |
| Provider Name | Michael Zelig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578561197 PECOS PAC ID: 4880736891 Enrollment ID: I20100128000376 |
| Provider Name | Kevin L Welch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013998772 PECOS PAC ID: 2264415447 Enrollment ID: I20100217000432 |
| Provider Name | Derek Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003897778 PECOS PAC ID: 1355492323 Enrollment ID: I20100217000453 |
| Provider Name | Michael Kent Vandenberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396728085 PECOS PAC ID: 7012921919 Enrollment ID: I20100217000503 |
| Provider Name | Nancy Katherine Morris |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891778130 PECOS PAC ID: 8224107453 Enrollment ID: I20100217000648 |
| Provider Name | Jennifer Murray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407830896 PECOS PAC ID: 9830103738 Enrollment ID: I20100217000698 |
| Provider Name | James Frost |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275516551 PECOS PAC ID: 6800798703 Enrollment ID: I20100218000772 |
| Provider Name | Anthony L Doerr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194773929 PECOS PAC ID: 2668459058 Enrollment ID: I20100309000792 |
| Provider Name | Scott David Mcmartin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932180254 PECOS PAC ID: 4284769811 Enrollment ID: I20100320000249 |
| Provider Name | Donald J Denby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912984972 PECOS PAC ID: 4183650666 Enrollment ID: I20100324000730 |
| Provider Name | Matthew T Hollimon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306174222 PECOS PAC ID: 7214070903 Enrollment ID: I20100325000637 |
| Provider Name | Ronald Powell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164405965 PECOS PAC ID: 3779619671 Enrollment ID: I20100330001063 |
| Provider Name | Dayona P Drumm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659686285 PECOS PAC ID: 8123144102 Enrollment ID: I20100928000172 |
| Provider Name | Lorilyn L Kirkland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205132750 PECOS PAC ID: 9739360769 Enrollment ID: I20110224000397 |
| Provider Name | Danielle Nichole Farrior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285931816 PECOS PAC ID: 1456529338 Enrollment ID: I20110720000190 |
| Provider Name | Kelley C Stokes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548556087 PECOS PAC ID: 1153590625 Enrollment ID: I20110818000248 |
| Provider Name | Kristin Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679693907 PECOS PAC ID: 6305015884 Enrollment ID: I20110818000296 |
| Provider Name | Rosanny Espinal-witter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578720025 PECOS PAC ID: 7719158138 Enrollment ID: I20110915000364 |
| Provider Name | Christopher Dadisman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447336516 PECOS PAC ID: 9335310127 Enrollment ID: I20110928000212 |
| Provider Name | Keely C Robinette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710944574 PECOS PAC ID: 8729096599 Enrollment ID: I20111219000043 |
| Provider Name | Sharon F Guttmann |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215053921 PECOS PAC ID: 0547428278 Enrollment ID: I20120227000039 |
| Provider Name | Andrew John Van Brocklin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1902181555 PECOS PAC ID: 8123291176 Enrollment ID: I20120502000103 |
| Provider Name | Benjamin J Havard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457438038 PECOS PAC ID: 8628102969 Enrollment ID: I20120724000488 |
| Provider Name | Adam Matthias Holdt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083833990 PECOS PAC ID: 8325204753 Enrollment ID: I20120730000273 |
| Provider Name | Sean Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164791711 PECOS PAC ID: 1951564780 Enrollment ID: I20121009000737 |
| Provider Name | Aimee L Dinwoodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164761672 PECOS PAC ID: 6709021827 Enrollment ID: I20130320000584 |
| Provider Name | Jennifer Erin Schneider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376897884 PECOS PAC ID: 3173768207 Enrollment ID: I20130320000679 |
| Provider Name | Casey Mickler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750479580 PECOS PAC ID: 8224162300 Enrollment ID: I20131007000674 |
| Provider Name | Bobby R Beal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225477888 PECOS PAC ID: 1456580877 Enrollment ID: I20140206000402 |
| Provider Name | Thomas J Lawrence |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487994497 PECOS PAC ID: 4688899156 Enrollment ID: I20140626000708 |
| Provider Name | Margaret G. Richards |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861882169 PECOS PAC ID: 7416274626 Enrollment ID: I20150327001455 |
| Provider Name | Todd Jayson Sanders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821228396 PECOS PAC ID: 0547493314 Enrollment ID: I20150817001634 |
| Provider Name | Andrew M Bachelor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073935888 PECOS PAC ID: 9234369760 Enrollment ID: I20151014000262 |
| Provider Name | Todd Prochnow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932103983 PECOS PAC ID: 0749233559 Enrollment ID: I20151027000670 |
| Provider Name | Meagan C Bachelor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346662152 PECOS PAC ID: 3577794882 Enrollment ID: I20151207001609 |
| Provider Name | Ethan M Gore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003136987 PECOS PAC ID: 0042459489 Enrollment ID: I20160711001844 |
| Provider Name | Richard Andrew Meyerholz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144512971 PECOS PAC ID: 4688817463 Enrollment ID: I20160815000402 |
| Provider Name | Stacey M Hardy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750822458 PECOS PAC ID: 0749567998 Enrollment ID: I20170426000929 |
| Provider Name | Jennifer B Gronert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932633765 PECOS PAC ID: 2567739675 Enrollment ID: I20170520000195 |
| Provider Name | Crystal L Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885604 PECOS PAC ID: 8426327248 Enrollment ID: I20170710001936 |
| Provider Name | Neal U Hatch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609167790 PECOS PAC ID: 9234428400 Enrollment ID: I20170724001589 |
| Provider Name | Anthony D Junck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003027376 PECOS PAC ID: 3678737905 Enrollment ID: I20171108002456 |
| Provider Name | Meghan J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551288 PECOS PAC ID: 7214297910 Enrollment ID: I20180126001905 |
| Provider Name | Stanley Michael Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659889665 PECOS PAC ID: 6800157090 Enrollment ID: I20180305000840 |
| Provider Name | Brittney K Tully |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578078671 PECOS PAC ID: 8628330578 Enrollment ID: I20180313001393 |
| Provider Name | Thomas M Pulling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326061169 PECOS PAC ID: 1557644424 Enrollment ID: I20180420000153 |
| Provider Name | Andrew J Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427317882 PECOS PAC ID: 9931343506 Enrollment ID: I20180620001610 |
| Provider Name | India A Rountree |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962730085 PECOS PAC ID: 7315236916 Enrollment ID: I20180813003121 |
| Provider Name | Jessica Christine Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881165652 PECOS PAC ID: 4486990512 Enrollment ID: I20190110003083 |
| Provider Name | Melissa K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013486711 PECOS PAC ID: 8022356435 Enrollment ID: I20190211000815 |
| Provider Name | Adina L Westmark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255721601 PECOS PAC ID: 1850670449 Enrollment ID: I20190411001964 |
| Provider Name | Frank King Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093775983 PECOS PAC ID: 0244221356 Enrollment ID: I20190507001362 |
| Provider Name | Ridgely M Meyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720359334 PECOS PAC ID: 0941581813 Enrollment ID: I20190711002808 |
| Provider Name | Pamela D Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851304190 PECOS PAC ID: 5395732994 Enrollment ID: I20190919001669 |
| Provider Name | Eric A Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992338321 PECOS PAC ID: 9537597513 Enrollment ID: I20200325003314 |
| Provider Name | Sarah Marie Skechak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688227 PECOS PAC ID: 9335570357 Enrollment ID: I20200507001102 |
| Provider Name | Kathleen M Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427006550 PECOS PAC ID: 3577582550 Enrollment ID: I20200515002081 |
| Provider Name | Nicole Chase Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144855958 PECOS PAC ID: 3678904166 Enrollment ID: I20200518001370 |
| Provider Name | Brian Kenneth Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659799237 PECOS PAC ID: 2264730050 Enrollment ID: I20200630002306 |
| Provider Name | Molly P Harman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275151011 PECOS PAC ID: 7719301928 Enrollment ID: I20200721003245 |
| Provider Name | Anthony S Anderson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760445514 PECOS PAC ID: 6103828298 Enrollment ID: I20200924002630 |
| Provider Name | Carol C Hundley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063970523 PECOS PAC ID: 4587904545 Enrollment ID: I20210305001186 |
| Provider Name | Rachel Anna Matsoukas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407358245 PECOS PAC ID: 4486996717 Enrollment ID: I20210329002354 |
| Provider Name | Earnest E Gilliam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841268737 PECOS PAC ID: 5294627972 Enrollment ID: I20210331000561 |
| Provider Name | Jonathan A Poirier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285016733 PECOS PAC ID: 1759666167 Enrollment ID: I20210614000053 |
| Provider Name | David C Thoma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720289200 PECOS PAC ID: 4981736451 Enrollment ID: I20210629000586 |
| Provider Name | Patricia Kachur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477947489 PECOS PAC ID: 3678880911 Enrollment ID: I20211013002821 |
| Provider Name | Amanda K Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457005613 PECOS PAC ID: 5698160356 Enrollment ID: I20220315001948 |
| Provider Name | Ryan P Murphy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023468709 PECOS PAC ID: 1153708144 Enrollment ID: I20220512001549 |
| Provider Name | Brynn M Ashmore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336879667 PECOS PAC ID: 9335520188 Enrollment ID: I20220726000095 |
| Provider Name | Robert J Macneal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033224431 PECOS PAC ID: 5294705737 Enrollment ID: I20220728000273 |
| Provider Name | Megan E Windom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700521804 PECOS PAC ID: 8325421431 Enrollment ID: I20220822002184 |
| Provider Name | Michael Olenych |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740774421 PECOS PAC ID: 5698158061 Enrollment ID: I20230720004078 |
| Provider Name | Jenna M. Bradley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871279240 PECOS PAC ID: 0749642569 Enrollment ID: I20230810003141 |
| Provider Name | Gregory C Reese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790345403 PECOS PAC ID: 3779812839 Enrollment ID: I20230814001561 |
| Provider Name | Kinsey M Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255979050 PECOS PAC ID: 1658726781 Enrollment ID: I20231010002865 |
| Provider Name | Alison K Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285419069 PECOS PAC ID: 0547618639 Enrollment ID: I20231130000565 |
| Provider Name | Frances L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770352627 PECOS PAC ID: 4789037862 Enrollment ID: I20240124004139 |
| Provider Name | Sarah F Touchstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427838333 PECOS PAC ID: 6002259306 Enrollment ID: I20240202003030 |
| Provider Name | Jonathan M Mcgowen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083273858 PECOS PAC ID: 2769817618 Enrollment ID: I20240312000041 |
| Provider Name | Taylor E Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609641091 PECOS PAC ID: 7012353717 Enrollment ID: I20240315000993 |
| Provider Name | Ryan C Jessee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619219706 PECOS PAC ID: 3476803495 Enrollment ID: I20240516000420 |
Positive Healthcare Mobile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Bayou Blvd Ste 37, Pensacola, FL 32503 Phone: 850-470-8071 | |
Zoltan T Erdos, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1717 North E St, Ste 523, Pensacola, FL 32501 Phone: 850-469-0799 Fax: 850-469-0792 | |
Everydaydoctor Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Palafox Pl Ste 200, Pensacola, FL 32502 Phone: 310-625-3224 | |
Pea Ridge Family Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 N Davis Hwy Ste 2, Pensacola, FL 32503 Phone: 850-475-0867 Fax: 850-475-0895 | |
Gary Gotthelf, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4511 N Davis Hwy, 1-c, Pensacola, FL 32503 Phone: 850-477-3252 Fax: 850-477-2659 | |
University Pediatric Program At Sacred Heart Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Carmel Heights Dr, Pensacola, FL 32504 Phone: 850-475-4500 Fax: 850-475-4771 | |
Gastroenterology Associates Of Pensacola Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-436-4570 |