DR. JOSHUA GILMAN HACKEL (NPI# 1225020936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225020936 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA GILMAN HACKEL |
| Credential | MD |
| Practice Address |
1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809 |
| Mailing Address |
1040 Gulf Breeze Pkwy Ste 200 Gulf Breeze FL 32561-7808 |
| Practice Telephone | 8509163700 |
| Practice Fax Number | 8509163710 |
| Mailing Telephone | 8509163700 |
| Mailing Fax Number | 8509163710 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
ME 91174 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 110611 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 50284 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 591-82235 | 01 |
| FL | 273585700 | 05 |
| Street Address |
1040 GULF BREEZE PKWY SUITE 200 |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506723 | Steve E Jordan | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2005-05-24 |
| 1184232696 | Mary Catherine Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-07-21 |
| 1740805902 | Ginger Christina Bogan | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-06-13 |
| 1528682119 | Charles Alan Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-05-30 |
| 1730666850 | Amanda Nystrom | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 | 2018-07-21 |
| 1043735285 | Matt Creamer | Physical Medicine & Rehabilitation | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2017-08-09 |
| 1700323367 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 209, Gulf Breeze, FL 32561-7809 | 2017-01-20 |
| 1639615180 | Ortho Florida, LLC | Orthopaedic Surgery | 1040 Gulf Breeze Pkwy, Ste 200, Gulf Breeze, FL 32561-7809 | 2017-01-09 |
| 1386095404 | Matthew Mcgraw | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Suite 101, Gulf Breeze, FL 32561-7809 | 2016-06-30 |
| 1760845911 | Angela Marie Pectol | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942512959 | Harrison Boyd Goodno | Family Medicine | 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838 | 2010-07-07 |
| 1659572816 | Baptist Physician Group LLC | Family Medicine | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607484 | Black Stallion Walk-in and Exercise Medicine Clinics LLC | Family Medicine | 9955 Se Federal Hwy, Hobe Sound, FL 33455-4829 | 2020-04-13 |
| 1003371519 | Affordable Medical Clinic of Wellii | Family Medicine | 12773 Forest Hill Blvd Ste 1203, Wellington, FL 33414-4760 | 2019-02-08 |
| 1609391929 | Baptist Physician Group LLC | Family Medicine | 8880 Navarre Pkwy Ste 206, Navarre, FL 32566-3614 | 2017-08-08 |
| 1568997880 | Sports Medicine and Rehab Fitness | Family Medicine | 4405 Crooked Mile Rd, Merritt Island, FL 32952-6310 | 2017-04-24 |
| 1770037822 | Daniel Gonzalez | Family Medicine | 11050 Griffin Rd, Davie, FL 33328-3226 | 2016-08-06 |
| 1497174478 | John Sami Maarouf | Family Medicine | 301 Harbour Place Dr Unit 2007, Tampa, FL 33602-6808 | 2014-04-07 |
| 1487091393 | Michelle Henne | Family Medicine | 5535 Cypress Gardens Blvd Ste 270, Winter Haven, FL 33884-2241 | 2013-05-31 |
| 1053678151 | Jonathan Paul Bonnet | Family Medicine | 4830 Nw 43rd St, M194, Gainesville, FL 32606-4401 | 2012-04-13 |
| 1891092862 | Ozaki, Inc. | Family Medicine | 1600 S Ocean Dr Apt 17d, Hollywood, FL 33019-2427 | 2011-02-28 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
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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.