THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC


Address: 4724 N Davis Hwy, 2nd Floor, Pensacola, FL 32503-2339
Phone: 8504381154

THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC (NPI# 1114153269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114153269
Entity Type Organization
Organization Name THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Practice Address 4724 N Davis Hwy
2nd Floor
Pensacola
FL 32503-2339
Practice Telephone 8504381154
Practice Fax Number 8504336034
Mailing Telephone 8504381154
Mailing Fax Number 8504336034
Enumeration Date 2009-06-03
Last Update Date 2011-08-19
Authorized Official Name NORTH J DAVIS (PRESIDENT)
Authorized Official Telephone 8504381154
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS OF FL 00047 01
FL BCBS OF FL 00047C 01
FL 001366801 05
FL 001366802 05
FL 001366800 05
FL BCBS OF FL 00047A 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679837116 The Pathology Group of Northwest Florida Pllc Pathology 151 E Redstone Ave, Crestview, FL 32539-5352 2012-06-29

Office Location

Street Address 4724 N DAVIS HWY
2ND FLOOR
City PENSACOLA
State FL
Zip Code 32503-2339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801881222 Elmer P Brestan Internal Medicine 4724 N Davis Hwy, Pensacola, FL 32503-2339 2005-09-12
1548869142 Sherry Leroy Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2020-10-23
1013522325 Florida Gulf Coast Anesthesia, LLC Anesthesiology 4724 N Davis Hwy, Pensacola, FL 32503-2339 2020-09-14
1639709835 Kaitlin Graye Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2020-01-16
1710443486 Kaitlyn Weaver Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2019-02-18
1750877791 Karen Lynn Atkins Dietitian, Registered 4724 N Davis Hwy, Pensacola, FL 32503-2339 2018-07-02
1497260400 Debbie Ann Sprague Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503 2017-12-13
1245761634 Charles Blay Internal Medicine 4724 N Davis Hwy, Pensacola, FL 32503-2339 2017-03-27
1538532692 Kaley Morris Physician Assistant 4724 N Davis Hwy, Pensacola, FL 32503 2015-11-10
1790167930 Jeana Varner Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2015-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134727472 Lauren Barrett Evans Nurse Practitioner 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 2020-10-09
1528666864 Kelsey Christine Kvartek Nurse Practitioner 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 2020-10-09
1730790551 Sacred Heart Hospital of Pensacola Podiatrist 1890 Summit Blvd, Pensacola, FL 32503 2020-08-14
1891312815 Sacred Heart Asc, LLC Clinic/Center 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 2020-06-26
1275011744 Teresa T Jansen Registered Nurse 5051 Carpenters Creek Dr, Pensacola, FL 32503 2018-08-06
1639662729 Florida Physical Therapy Services of Pensacola, LLC Occupational Therapist 428 Airport Blvd, Pensacola, FL 32503 2018-06-13
1922595123 Touch of Love Home Health Care LLC Home Health 139 E Burgess Rd Ste B, Pensacola, FL 32503 2018-04-13
1770012106 Amber Mcclellan Occupational Therapist 4551 North Davis Highway, Suite C, Pensacola, FL 32503 2017-06-08
1780123885 Corinne Georgette-marie Carlson Registered Nurse 6809 White Oak Drive, Pensacola, FL 32503 2017-02-22
1538615232 Kristin E Patton Dietitian, Registered 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 2016-09-01
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376839258 Carrie Robinson Pathology 6000 Us Hwy 98 Naval Hospital Pensacola, Pensacola, FL 32512-2111 2011-06-20
1861535403 Gastroenterology Associates of Pensacola Pa Pathology 4810 N Davis Hwy Ste 2, Pensacola, FL 32503-2341 2007-02-14
1194792309 Chi Kim Nguyen Pathology 5149 N Ninth Avenue, Pensacola, FL 32504-8779 2006-03-07
1689654154 Denise Lynn Peet Pathology Naval Hopsital, Laboratory, 6000 West Highway 98, Pensacola, FL 32512 2006-01-19
1487994497 Thomas Joseph Lawrence Pathology 5149 N 9th Ave, Suite 122, Pensacola, FL 32504-8756 2013-02-28
1043454960 Northwest Florida Pathology LLC Pathology 8383 N Davis Hwy, Pensacola, FL 32514-6039 2009-04-22
1578720025 Rosanny Espinal-witter Pathology 5149 N 9th Ave, Pensacola, FL 32504-8779 2008-05-21
1649470238 Lorraine G Ripps Pathology 4810 N Davis Hwy, Pensacola, FL 32503-2341 2007-07-20
1346383148 Venancio S Teves Pathology 4810 N Davis Hwy, Suite 2, Pensacola, FL 32503-2341 2007-02-14
1457438038 Benjamin James Havard Pathology 5149 N 9th Ave, Pensacola, FL 32504-8779 2006-11-01
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Competitor

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City PENSACOLA
Zip Code 32503

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Dataset Information

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.

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