FRESENIUS VASCULAR CARE PENSACOLA LLC (NPI# 1285031963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285031963 |
| Entity Type | Organization |
| Organization Name | FRESENIUS VASCULAR CARE PENSACOLA LLC |
| Other Organization Name | AZURA VASCULAR CARE RENALUS PENSACOLA |
| Practice Address |
1619 Creighton Rd Pensacola FL 32504-7152 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Attn: Credentialing Malvern PA 19355-1407 |
| Practice Telephone | 8504444700 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 4849240053 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | JEFFREY E. SNODGRASS (PRESIDENT) |
| Authorized Official Telephone | 6106448900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018727200 | 05 |
| Other Name | Type Code |
|---|---|
| Azura Vascular Care Renalus Pensacola | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 925 Mar Walt Dr, Fort Walton Beach, FL 325476602 | 8508644005 | 8508644031 |
| Street Address |
1619 CREIGHTON RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-7152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545566 | Humam Humeda | Internal Medicine | 1619 Creighton Rd, Ste 1, Pensacola, FL 32504-7152 | 2005-06-01 |
| 1720621774 | Aubri Rihan Velez | Rehabilitation Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2019-10-22 |
| 1992361372 | Danielle Smyly | Nurse Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2019-05-11 |
| 1578098695 | Priscilla Christine Phan | Physician Assistant | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2017-04-26 |
| 1881131621 | Fresenius Vascular Care of Pensacola Asc LLC | Clinic/Center | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2017-01-31 |
| 1023405222 | Nicole Anne Clem | Nurse Practitioner | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2015-04-25 |
| 1598199804 | Erin Elizabeth Luescher | Physician Assistant | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2013-08-23 |
| 1417296401 | Cindy Kathleen Lawrence | Nurse Practitioner | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2013-02-11 |
| 1841265253 | Haitham O Qader | Internal Medicine | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2006-02-20 |
| 1285636472 | Ronnie D Wiles | Internal Medicine | 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 | 2005-06-01 |
| Find all providers in the same location | ||||
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285888180 | Coastal Vascular and Interventional Pllc | Radiology | 5149 N. 9th Avenue, Suite 120, Pensacola, FL 32504-8734 | 2008-11-05 |
| 1831563568 | Up-standing Radiology Services LLC | Radiology | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
| 1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
| 1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
| 1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FRESENIUS VASCULAR CARE PENSACOLA LLC.
| 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.