PENSACOLA IMAGING, LLC (NPI# 1245677327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245677327 |
| Entity Type | Organization |
| Organization Name | PENSACOLA IMAGING, LLC |
| Practice Address |
12385 Sorrento Road Suite B1 Pensacola FL 32507 |
| Mailing Address |
12385 Sorrento Road Suite B1 Pensacola FL 32507-8656 |
| Practice Telephone | 8504927647 |
| Practice Fax Number | 8504927583 |
| Mailing Telephone | 8504927647 |
| Mailing Fax Number | 8504927583 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | CHRISTOPHER M CAMPUS (OWNER/MANAGER) |
| Authorized Official Telephone | 8507763111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DN9602 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
12385 SORRENTO ROAD SUITE B1 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| 1770649675 | Brian M Lee | Family Medicine | 10 Doug Ford Drive, Pensacola, FL 32507 | 2006-12-28 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215382437 | Bay Area Radiology, PC | Radiology | 4771 Bayou Blvd, Pensacola, FL 32503-1930 | 2016-04-25 |
| 1710272661 | Daniel Garvin | Radiology | 6000 W 98 Hwy, Pensacola, FL 32512-2111 | 2011-06-17 |
| 1326061169 | Thomas M Pulling | Radiology | 1717 N E St Ste 300, Pensacola, FL 32501-6336 | 2006-07-25 |
| 1972548139 | Frederick Carl Wendt | Radiology | 8333 North Davis Hwy, Medical Center Clinic/radiology Dep, Pensacola, FL 32514 | 2006-06-19 |
| 1134192289 | Joseph Jay Crittenden | Radiology | 8909 Burning Tree Rd, Pensacola, FL 32514-5610 | 2006-02-09 |
| 1265404040 | William Raymond Bender | Radiology | 33 Lakeside Dr, Pensacola, FL 32507-3407 | 2006-02-06 |
| 1407835168 | Shannon Randall Hobgood | Radiology | 3050 Magnolia Ave, Pensacola, FL 32503-4179 | 2006-01-11 |
| 1891777520 | G. Terral King | Radiology | 4996 N Davis Hwy, Pensacola, FL 32503-2344 | 2005-11-17 |
| 1073518882 | Donald W Farmer | Radiology | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2005-06-17 |
| 1033549969 | Radiology Associates of Tampa Pa | Radiology | 4724 N Davis Hwy, 210, Pensacola, FL 32503-2339 | 2013-11-13 |
| 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.