ANDREW BLAKE COLLETTE (NPI# 1104026442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104026442 |
| Entity Type | Individual |
| Full Name | ANDREW BLAKE COLLETTE |
| Credential | DO |
| Practice Address |
5147 N 9th Ave Ste 103 Pensacola FL 32504-8770 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8504949000 |
| Practice Fax Number | 8504161911 |
| Mailing Telephone | 8504949000 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
OS14581 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MCR | HRE4P | 01 |
| FL | 0212511-00 | 05 |
| Street Address |
5147 N 9TH AVE STE 103 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
| 1548800741 | Andrew Pickering | Nurse Practitioner | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2020-01-15 |
| 1619494366 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2017-08-24 |
| 1700331840 | Caitlin Mccaffrey | Physician Assistant | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2016-08-18 |
| 1598151375 | Matthew Earl Cummins | Podiatrist | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2015-04-08 |
| 1215286711 | Nathan Leigh Carter | Nurse Practitioner | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2012-08-30 |
| 1487948659 | Sacred Heart Medical Group | Clinic/Center | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8771 | 2011-06-06 |
| 1851603062 | Mason Harold Hicks | Physician Assistant | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
| 1558525733 | John Thomas Riehl | Orthopaedic Surgery | 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 | 2008-07-16 |
| 1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
| 1619494366 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2017-08-24 |
| 1326304049 | Johnathan Fred Williams | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2012-04-06 |
| 1649543182 | Baptist Medical Group LLC | Orthopaedic Surgery | 1717 N E St, Suite 208, Pensacola, FL 32501-6339 | 2012-02-14 |
| 1851542427 | Jason R Rocha | Orthopaedic Surgery | 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 | 2008-10-01 |
| 1134330020 | Leslie M. Barnes Remski | Orthopaedic Surgery | 1717 N E St, Suite 208, Pensacola, FL 32501-6339 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183972 | Medical Solutions | Orthopaedic Surgery | 353 Broyles Dr Se, Palm Bay, FL 32909-2355 | 2019-09-13 |
| 1467828228 | Transitional Care Medical Associates Inc. | Orthopaedic Surgery | 12989 Southern Blvd, Mod 3, Ste 202, Loxahatchee, FL 33470-9291 | 2015-08-17 |
| 1316243538 | Kevin Patrick O'halloran | Orthopaedic Surgery | 2943 Highway 77, Panama City, FL 32405-4411 | 2011-02-04 |
| 1396055299 | Raymond A Long | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2010-10-14 |
| 1396074316 | Diplomat Orthopaedic Group, P.a. | Orthopaedic Surgery | 10600 Griffin Road, Suite 104, Cooper City, FL 33328-3208 | 2009-12-22 |
| 1386846871 | Lisa R Blackrick | Orthopaedic Surgery | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2007-06-05 |
| 1275734766 | Daniel Bayon Chan | Orthopaedic Surgery | 1150 N 35th Ave Ste 130, Hollywood, FL 33021 | 2007-05-30 |
| 1164586293 | Sein Lwin | Orthopaedic Surgery | 300 Se 17 Street, Suite 2r, Fort Lauderdale, FL 33316 | 2006-12-21 |
| 1760576706 | Payam Tabrizi | Orthopaedic Surgery | 1895 Kingsley Ave Ste 300, Orange Park, FL 32073-4453 | 2006-10-03 |
| 1609841931 | Thomas Joseph Mezzanotte | Orthopaedic Surgery | 819 E Oak St Ste A, Kissimmee, FL 34744-5842 | 2006-02-21 |
| Find all providers with the same taxonomy | ||||
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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.