SACRED HEART HOSPITAL OF PENSACOLA (NPI# 1326099763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326099763 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOSPITAL OF PENSACOLA |
| Other Organization Name | SACRED HEART MEDICAL ONCOLOGY GROUP |
| Practice Address |
4451 Bayou Blvd Pensacola FL 32503-8715 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8504754500 |
| Practice Fax Number | 8504754771 |
| Mailing Telephone | 8504754500 |
| Mailing Fax Number | 8504754771 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-09-16 |
| Authorized Official Name | MRS. JAN FOLEY (ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 8504754620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sacred Heart Medical Oncology Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1831615293 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 13137 Sorrento Rd Ste E, Pensacola, FL 32507-8777 | 2017-08-17 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1528539061 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2018-12-10 |
| 1619494366 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2017-08-24 |
| 1306363007 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4521 N Davis Hwy, Pensacola, FL 32503-2770 | 2017-08-24 |
| 1205376480 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 6314 N 9th Ave, Pensacola, FL 32504-7320 | 2017-03-07 |
| 1629518998 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 8220 Navarre Pkwy, Navarre, FL 32566-6943 | 2017-03-06 |
| 1881134153 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 2237 W Nine Mile Rd, Pensacola, FL 32534-9416 | 2017-03-06 |
| 1790225068 | Sacred Heart Hospital of Pensacola | Nurse Practitioner | 3909 Highway 90, Pace, FL 32571-1915 | 2017-03-06 |
| Street Address |
4451 BAYOU BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099839 | Martha H Sanford | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2005-08-02 |
| 1770121535 | Brian Wade Pullam | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-12-11 |
| 1356903215 | Noelle J Emmons | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-07-01 |
| 1750940268 | Lauren Mary Myers | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-08 |
| 1588222814 | Itumeleng M Ncube | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-01 |
| 1861980724 | Clorinda M Baker | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-04-26 |
| 1649786179 | Ashley Renee Norwood | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2017-12-20 |
| 1164931242 | Abigail Kathryn Fleischman | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2017-09-21 |
| 1215383542 | Michael Trent Norman | Hospitalist | 4451 Bayou Blvd, Pensacola, FL 32503 | 2016-05-05 |
| 1689083354 | Joseph B. Smith Jr. | Speech-Language Pathologist | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2014-08-07 |
| Find all providers in the same location | ||||
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083750962 | Alexander Brown | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504-8615 | 2007-01-29 |
| 1801881222 | Elmer P Brestan | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2005-09-12 |
| 1023379575 | Nicholas M Drake | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501 | 2012-05-31 |
| 1851667109 | Sweta Jonnalagadda | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501-6390 | 2012-03-30 |
| 1053584003 | Dee Mcleod | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2008-04-10 |
| 1871762971 | Lonnie Dean Miller | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504 | 2008-02-22 |
| 1952528762 | Michael Joseph Poiesz | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2007-04-20 |
| 1356474548 | Dany Naim El Sayah | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2007-03-14 |
| 1811047905 | James F Watkins IIi | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2007-01-11 |
| 1558460626 | Yazan Alsayed | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2006-09-22 |
| 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.