DR. WADE THOMAS KECKLER (NPI# 1033447024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033447024 |
Entity Type | Individual |
Full Name | DR. WADE THOMAS KECKLER |
Credential | PSY.D. |
Practice Address |
Naval Hospital Pensacola 6000 West Highway 98 Pensacola FL 32512-0001 |
Practice Telephone | 8504525270 |
Practice Fax Number | 8504525269 |
Mailing Telephone | 8504525270 |
Mailing Fax Number | 8504525269 |
Enumeration Date | 2009-12-02 |
Last Update Date | 2017-02-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
8045 | FL | Behavioral Health & Social Service Providers |
Street Address |
NAVAL HOSPITAL PENSACOLA 6000 WEST HIGHWAY 98 |
City | PENSACOLA |
State | FL |
Zip Code | 32512-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851361026 | Michael Eugene Clark | Nurse Anesthetist, Certified Registered | Naval Hospital Pensacola, 6000 West Hwy 98, Pensacola, FL 32512-0003 | 2006-01-23 |
1669923157 | Rhonda Cantu | Registered Nurse | Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512-0001 | 2016-10-19 |
1952705162 | Alaleh Selkirk | Psychologist | Naval Hospital Pensacola, 6000 W Why 98, Pensacola, FL 32512-0003 | 2014-10-17 |
1174755482 | Eric Chan | Pharmacist | Naval Hospital Pensacola, 6000 W Highway 98, Pensacola, FL 32512-0001 | 2009-08-20 |
1043418676 | Angela Roldan-whitaker | Dentist | Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512-0003 | 2007-07-05 |
1902002645 | Megan Michelle De Cecchis | Radiology | Naval Hospital Pensacola, 6000 West Hwy 98, Pensacola, FL 32512-0001 | 2007-06-21 |
1861581886 | Deborah Hodge Mcbride | Nurse Practitioner | Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512-0001 | 2006-10-11 |
1821067935 | Thao N. Wagner | Radiology | Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512-0003 | 2006-03-14 |
1831162247 | Us Navy | Chronic Disease Hospital | Naval Hospital Pensacola, 6000 W Hwy 98, Pensacola, FL 32506 | 2006-02-08 |
1902876329 | Lee Anne Savoia-mchugh | Family Medicine | Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512 | 2006-01-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659612240 | Andrew J Wright | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98 Hwy, Pensacola, FL 32512 | 2013-03-07 |
1497952071 | Harlan Walker II | Student in an Organized Health Care Education/Training Program | Nami, Pensacola Nas, FL 32512 | 2007-06-28 |
1821182841 | David Dean | Psychologist | Deployment Health - Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512 | 2006-10-03 |
1689681751 | Michael Jay Franks Jr. | Psychologist | 6000 W. Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512 | 2006-08-02 |
1477514115 | Randolph Lee Budd | Physical Therapist | 1000 West Hwy 98, Pensacola, FL 32512 | 2006-03-31 |
1962473470 | Alden Mathias Brown | Physician Assistant | 6ooo Hwg 98 West, Pensacola, FL 32512 | 2006-02-01 |
1972574580 | Adolfo Jose Torrez Jr. | Family Medicine | 6000 Highway 98 West, Pensacola Naval Hospital Emergency Department, Pensacola, FL 32512 | 2006-01-31 |
1336119387 | Felix Rodriguez Tormes | Orthopaedic Surgery | Highway 98, Naval Hospital, Pensacola, FL 32512 | 2006-01-24 |
1689654154 | Denise Lynn Peet | Pathology | Naval Hopsital, Laboratory, 6000 West Highway 98, Pensacola, FL 32512 | 2006-01-19 |
1811515323 | Ryan Gov | Dentist | 6000 Us-98, Pensacola, FL 32512 | 2020-07-10 |
Find all providers in zip 32512 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932658044 | Erin Rabideau | Psychologist | 3356 Wellington Rd, Pensacola, FL 32504-7425 | 2016-09-30 |
1245521418 | Louis Desonier, Phd Pa | Psychologist | 1717 North 'e' St. Suite 303, Pensacola, FL 32501-6339 | 2011-04-22 |
1649410192 | Daniel L Dolgin Phd | Psychologist | 3298 Nighthawk Ln, Pensacola, FL 32506-9667 | 2009-02-24 |
1225243512 | Lawrence John Gilgun | Psychologist | 6160 N Davis Hwy Ste 9c, Pensacola, FL 32504-6967 | 2007-05-11 |
1306061957 | Michael Brant Demaria | Psychologist | 512 E Zaragoza St, Pensacola, FL 32502-6155 | 2007-04-16 |
1730241209 | Pensacola Psychological Clinic Pa | Psychologist | 3 W Garden St, Ste 370, Pensacola, FL 32502-5641 | 2006-12-14 |
1710072590 | Patricia Ann Black-gould | Psychologist | 10116 Bittern Dr # 32507, Pensacola, FL 32507-7208 | 2006-10-04 |
1649380718 | Jonathan Drake Miller | Psychologist | 4630 Canter Row, Pensacola, FL 32526-5077 | 2006-08-30 |
1689681751 | Michael Jay Franks Jr. | Psychologist | 6000 W. Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512 | 2006-08-02 |
1255367918 | Leisa D. Ludlam Ph.d., P.a. | Psychologist | 9007 University Pkwy, Pensacola, FL 32514-5525 | 2006-06-24 |
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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.