Ascension Medical Group Sacred Heart | |
5225 Carmel Heights Dr Pensacola FL 32504-8715 | |
(850) 475-4500 | |
(850) 475-4771 |
Full Name | Ascension Medical Group Sacred Heart |
---|---|
Speciality | Family Medicine |
Location | 5225 Carmel Heights Dr, Pensacola, Florida |
Authorized Official Name and Position | Miranda Hemm (ENROLLMENT MANAGER) |
Authorized Official Contact | 9044506004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ascension Medical Group Sacred Heart 4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 Ph: () - | Ascension Medical Group Sacred Heart 5225 Carmel Heights Dr Pensacola FL 32504-8715 Ph: (850) 475-4500 |
NPI Number | 1144271586 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 02/21/2024 |
Medicare PECOS PAC ID | 3779491386 |
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Medicare Enrollment ID | O20031125000699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144271586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Jesse A Walck |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1487609913 PECOS PAC ID: 2163493321 Enrollment ID: I20040803000400 |
Provider Name | Jason A Foland |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1841216314 PECOS PAC ID: 1456325034 Enrollment ID: I20040820000106 |
Provider Name | John E Retzloff |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265484729 PECOS PAC ID: 6608838826 Enrollment ID: I20041101000088 |
Provider Name | Felix E Ermolenko |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194777029 PECOS PAC ID: 8729044060 Enrollment ID: I20041208000238 |
Provider Name | Darrell Gary Griffin |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1922053263 PECOS PAC ID: 6103883574 Enrollment ID: I20041216001002 |
Provider Name | Diane M Wilkinson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1699729228 PECOS PAC ID: 3476510884 Enrollment ID: I20041217000196 |
Provider Name | Sonia Artrice Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285794826 PECOS PAC ID: 5395702641 Enrollment ID: I20041217000558 |
Provider Name | Karen B Vanbeneden Colley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730242348 PECOS PAC ID: 9739146085 Enrollment ID: I20041217000579 |
Provider Name | Suzanne Y Bush |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760471239 PECOS PAC ID: 4789587445 Enrollment ID: I20060130000292 |
Provider Name | Seth R Fowler |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1679525133 PECOS PAC ID: 4587670492 Enrollment ID: I20060302000142 |
Provider Name | Brian Sontag |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497709539 PECOS PAC ID: 8123020658 Enrollment ID: I20070212000592 |
Provider Name | Todd D Stalnaker |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275571135 PECOS PAC ID: 7911009741 Enrollment ID: I20070226000663 |
Provider Name | William R Lile |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1477591238 PECOS PAC ID: 4284736646 Enrollment ID: I20070305000004 |
Provider Name | Steven L Decesare |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1770535114 PECOS PAC ID: 3274630033 Enrollment ID: I20070514000302 |
Provider Name | Julie A Decesare |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831143940 PECOS PAC ID: 6901903384 Enrollment ID: I20070518000398 |
Provider Name | Karimu Maisha Smith Barron |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740357284 PECOS PAC ID: 4082707948 Enrollment ID: I20070907000753 |
Provider Name | Maria A Carmona-gonzalez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1336289487 PECOS PAC ID: 2466548243 Enrollment ID: I20071010000500 |
Provider Name | Joseph E Peterson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1770769820 PECOS PAC ID: 8426137209 Enrollment ID: I20080505000694 |
Provider Name | Sharon L Seidel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821258021 PECOS PAC ID: 7214003912 Enrollment ID: I20080903000614 |
Provider Name | Rex Northup |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1083631691 PECOS PAC ID: 0941360119 Enrollment ID: I20081118000210 |
Provider Name | Robert F Patterson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1528085115 PECOS PAC ID: 1254491335 Enrollment ID: I20081119000335 |
Provider Name | John Wallace Kuluz |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1821026964 PECOS PAC ID: 8729134135 Enrollment ID: I20090925000248 |
Provider Name | Charles Shane Medlock |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619125671 PECOS PAC ID: 2567500747 Enrollment ID: I20091109000311 |
Provider Name | James J Burns |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1568551067 PECOS PAC ID: 1355321019 Enrollment ID: I20100626000537 |
Provider Name | Thomas Patton |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1205813854 PECOS PAC ID: 9830157429 Enrollment ID: I20100803000526 |
Provider Name | John Butler Grammer |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497744973 PECOS PAC ID: 0042113706 Enrollment ID: I20100809000352 |
Provider Name | Jill Marie Prafke |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437148814 PECOS PAC ID: 1355243130 Enrollment ID: I20100809000367 |
Provider Name | Ronald S Stuart |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1518956994 PECOS PAC ID: 2668375320 Enrollment ID: I20100809000383 |
Provider Name | Erica E Whittingham Davis |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1568626539 PECOS PAC ID: 7113051228 Enrollment ID: I20100811000607 |
Provider Name | Ryan M Hahn |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730389024 PECOS PAC ID: 1951426105 Enrollment ID: I20100913000318 |
Provider Name | Avind Rampersad |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1457516486 PECOS PAC ID: 2062608052 Enrollment ID: I20120807000187 |
Provider Name | Sabrina P Adams |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073745360 PECOS PAC ID: 7517115645 Enrollment ID: I20120914000625 |
Provider Name | Stephanie K Slagle |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1548458656 PECOS PAC ID: 4981890076 Enrollment ID: I20121005000366 |
Provider Name | Angela Ziebarth |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1467498675 PECOS PAC ID: 5092907816 Enrollment ID: I20130717000077 |
Provider Name | Teresa Ann Mahaffey |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083712632 PECOS PAC ID: 3779737572 Enrollment ID: I20140512001165 |
Provider Name | Gary K Person |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134285133 PECOS PAC ID: 7012936800 Enrollment ID: I20141107001711 |
Provider Name | Ashley M Shirah |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740414945 PECOS PAC ID: 8628236726 Enrollment ID: I20150414002502 |
Provider Name | Heidy J. Hayden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891788576 PECOS PAC ID: 4486974821 Enrollment ID: I20150526001886 |
Provider Name | Traci L Halstead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134511207 PECOS PAC ID: 3476864554 Enrollment ID: I20150616001185 |
Provider Name | John Tramont |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205806544 PECOS PAC ID: 8921230129 Enrollment ID: I20150619000535 |
Provider Name | Ashley Brittingham King |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1013178227 PECOS PAC ID: 0941449284 Enrollment ID: I20150701001542 |
Provider Name | Yolanda A Jones |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1154595254 PECOS PAC ID: 8921151903 Enrollment ID: I20150722005172 |
Provider Name | Matthew C Fowler |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1255693156 PECOS PAC ID: 9436464484 Enrollment ID: I20150819008786 |
Provider Name | Florentina Litra |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295959088 PECOS PAC ID: 2062565393 Enrollment ID: I20150828001778 |
Provider Name | Meisha Graham Colletti |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831365691 PECOS PAC ID: 9830364090 Enrollment ID: I20151005001962 |
Provider Name | Nesrin C Yurttutan Engin |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306196019 PECOS PAC ID: 4880902295 Enrollment ID: I20151005002963 |
Provider Name | Brandy J Boutin |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1255548129 PECOS PAC ID: 2062721434 Enrollment ID: I20151026001951 |
Provider Name | James Nix |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376595017 PECOS PAC ID: 9335111012 Enrollment ID: I20151214000996 |
Provider Name | Anas Farag Galleon |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1689814048 PECOS PAC ID: 6406988104 Enrollment ID: I20160406000050 |
Provider Name | Carrie F Garrison |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1639383359 PECOS PAC ID: 9335382001 Enrollment ID: I20160727001789 |
Provider Name | Geoffrey M Fraiche |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1982892816 PECOS PAC ID: 3870762800 Enrollment ID: I20160817001799 |
Provider Name | Lakeema B Bruce |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851654701 PECOS PAC ID: 0547555138 Enrollment ID: I20160822001069 |
Provider Name | Callah R Antonetti |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1023351053 PECOS PAC ID: 0345535795 Enrollment ID: I20160824000434 |
Provider Name | Mikah S Thompson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558531335 PECOS PAC ID: 4587790076 Enrollment ID: I20161116000323 |
Provider Name | Erica S Thomson |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1487882759 PECOS PAC ID: 7810145513 Enrollment ID: I20170124002665 |
Provider Name | Ann M Ross |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265468268 PECOS PAC ID: 8426238718 Enrollment ID: I20170807002926 |
Provider Name | Lydia M Langston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801138961 PECOS PAC ID: 3577865534 Enrollment ID: I20170823002553 |
Provider Name | Betty V Koukis |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922206762 PECOS PAC ID: 4486818259 Enrollment ID: I20170914001892 |
Provider Name | Andrew Kamal Boulos |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1922419407 PECOS PAC ID: 2163649013 Enrollment ID: I20171003006382 |
Provider Name | William Marc Boyd |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1770581456 PECOS PAC ID: 7416920038 Enrollment ID: I20171213000272 |
Provider Name | Adriana Fernandez Bowman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1093120925 PECOS PAC ID: 1456619592 Enrollment ID: I20171220000315 |
Provider Name | Lynda C Gilliam |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194838680 PECOS PAC ID: 6103876370 Enrollment ID: I20180110000631 |
Provider Name | Megan Suzanne Voss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649798315 PECOS PAC ID: 1759641194 Enrollment ID: I20180205000936 |
Provider Name | Jamie C Jackson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033389879 PECOS PAC ID: 6507058294 Enrollment ID: I20180213001242 |
Provider Name | Briana N Thompson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1235542192 PECOS PAC ID: 5294096020 Enrollment ID: I20180219001300 |
Provider Name | Stephanie S Battistini |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1467831099 PECOS PAC ID: 6002162021 Enrollment ID: I20180705002411 |
Provider Name | Lindsey M Mcalpin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497194872 PECOS PAC ID: 0244504173 Enrollment ID: I20180919004291 |
Provider Name | Janet Kelley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1225005531 PECOS PAC ID: 8527041193 Enrollment ID: I20181112000922 |
Provider Name | Jeremy S Scherer |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1568841971 PECOS PAC ID: 8426302076 Enrollment ID: I20181116001728 |
Provider Name | Carlos Arauco |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1366452815 PECOS PAC ID: 9133210099 Enrollment ID: I20181212001399 |
Provider Name | Elizabeth M Burgess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922583525 PECOS PAC ID: 4789920943 Enrollment ID: I20190108003485 |
Provider Name | Melissa Greenspan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699230508 PECOS PAC ID: 7517290752 Enrollment ID: I20190604000214 |
Provider Name | Rebecca Ward |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1134581895 PECOS PAC ID: 8426384397 Enrollment ID: I20190730003544 |
Provider Name | Stephen Davis Rohl |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1043665813 PECOS PAC ID: 0749517191 Enrollment ID: I20190808001600 |
Provider Name | Mary Alice Johnston |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194952333 PECOS PAC ID: 9830328962 Enrollment ID: I20191011000157 |
Provider Name | Elsye S Schrandt |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003260316 PECOS PAC ID: 8527490846 Enrollment ID: I20191107000427 |
Provider Name | Amber Price |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1962986729 PECOS PAC ID: 4385068568 Enrollment ID: I20200721002132 |
Provider Name | Margaret A Mcgrath |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598861502 PECOS PAC ID: 7315118080 Enrollment ID: I20200804001066 |
Provider Name | Leslie D Bender |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457660664 PECOS PAC ID: 3072795764 Enrollment ID: I20201023000189 |
Provider Name | Stuart Shippey |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447236906 PECOS PAC ID: 1658376876 Enrollment ID: I20211013000297 |
Provider Name | Debra Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063152452 PECOS PAC ID: 2062899487 Enrollment ID: I20220524001202 |
Provider Name | Julie Burch |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1861807745 PECOS PAC ID: 1456621713 Enrollment ID: I20220829000630 |
Provider Name | Danielle Geeting |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1427478601 PECOS PAC ID: 4587889860 Enrollment ID: I20220914000167 |
Provider Name | Jennifer Benz Findley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780079541 PECOS PAC ID: 5193198489 Enrollment ID: I20230308000148 |
Provider Name | Amanda L Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992408587 PECOS PAC ID: 1153786421 Enrollment ID: I20230420003066 |
Provider Name | Anayah Sarkar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285943282 PECOS PAC ID: 5698104305 Enrollment ID: I20230602002391 |
Provider Name | Andrew Madison Buckelew |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1801355607 PECOS PAC ID: 1850759804 Enrollment ID: I20230622003270 |
Provider Name | Janay Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427752138 PECOS PAC ID: 9234591579 Enrollment ID: I20230817002456 |
Provider Name | Jonathan S Stralka |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1366735078 PECOS PAC ID: 7416264163 Enrollment ID: I20231219003263 |
Provider Name | Mukul Sehgal |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932596913 PECOS PAC ID: 5991033961 Enrollment ID: I20240508000007 |
Provider Name | Carolyn Zin |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912520727 PECOS PAC ID: 0749605012 Enrollment ID: I20240528003871 |
Provider Name | Stephanie Prudencio |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1699235200 PECOS PAC ID: 4880036300 Enrollment ID: I20240529001310 |
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