JOHN MARK FANNIN (NPI# 1134135122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134135122 |
| Entity Type | Individual |
| Full Name | JOHN MARK FANNIN |
| Credential | MD |
| Practice Address |
4600 N Davis Highway Pensacola FL 32503 |
| Mailing Address |
4600 North Davis Highway Pensacola FL 32503 |
| Practice Telephone | 8504779073 |
| Practice Fax Number | 8504940065 |
| Mailing Telephone | 8504779073 |
| Mailing Fax Number | 8504940065 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME96388 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009939839 | 05 | |
| FL | 276437700 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 56071 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 591-89048 | 01 |
| Street Address |
4600 N DAVIS HIGHWAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503 |
| 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 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427394030 | Mary Matyi | Anesthesiology | 4400 Bayou Blvd Ste 16c, Pensacola, FL 32503 | 2012-12-31 |
| 1154657252 | James C Wright | Anesthesiology | 665 Palomar Dr Apt 207, Pensacola, FL 32507-3387 | 2009-10-23 |
| 1306077292 | Jennifer Suzanne Wortendyke | Anesthesiology | 10335 Gulf Beach Hwy Unit 401, Pensacola, FL 32507-2170 | 2009-07-27 |
| 1033346754 | Anthony A Giberman | Anesthesiology | 6000 W Highway 98 Department of Anesthesia, Pensacola, FL 32512-5285 | 2009-06-20 |
| 1417023995 | Craig Jordan Hurt | Anesthesiology | Nh Pensacola, 6000 W Hwy 98, Pensacola, FL 32512-0001 | 2006-11-28 |
| 1295826618 | Thomas P O'connell | Anesthesiology | 108 S Alcaniz St, #206, Pensacola, FL 32502-6157 | 2006-09-28 |
| 1881625366 | James Harry Nalley | Anesthesiology | 2475 C E Nine Mile Road, Pensacola, FL 32514 | 2006-07-05 |
| 1043259732 | Richard Albert Hackim | Anesthesiology | 102 Severin Dr, Pensacola, FL 32503-3155 | 2006-06-06 |
| 1871532226 | The Anesthesia Group, P.a. | Anesthesiology | 4901 Grande Drive, Pensacola, FL 32504 | 2006-06-04 |
| 1285600411 | Pinnacle Physicians LLC | Anesthesiology | 8201 University Pkwy, Pinnacle Physicians LLC, Pensacola, FL 32514-4904 | 2006-02-27 |
| Find all providers in PENSACOLA | ||||
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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.