BANUELOS MEDICAL CLINIC PLLC (NPI# 1336567254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336567254 |
| Entity Type | Organization |
| Organization Name | BANUELOS MEDICAL CLINIC PLLC |
| Practice Address |
945 W Michigan Ave Ste 10c Pensacola FL 32505-2346 |
| Mailing Address |
945 W Michigan Ave Ste 10c Pensacola FL 32505-2345 |
| Practice Telephone | 8509126179 |
| Practice Fax Number | 8884045528 |
| Mailing Telephone | 8509126179 |
| Mailing Fax Number | 8884045528 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | ELIAS I BANUELOS (OWNER) |
| Authorized Official Telephone | 8509126179 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME97139 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
945 W MICHIGAN AVE STE 10C |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32505-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275677635 | Robert Frederick Cowan | Chiropractor | 945 W Michigan Ave, Suite 8b, Pensacola, FL 32505-2345 | 2007-02-19 |
| 1073833463 | Nelly A Morales | Physician Assistant | 945 W Michigan Ave, Suite 10c, Pensacola, FL 32505-2345 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203610 | Tekisha S Steele | Homemaker | 4503 Lemoyne Lane, Pensacola, FL 32505 | 2020-07-28 |
| 1225491269 | Darren Hohaus | Counselor | Florida Therapy Services, Inc., 6520 N. Pensacola Blvd., Office Park North, 2nd Building, Pensacola, FL 32505 | 2016-03-29 |
| 1881933091 | Elizabeth Anne Cremeans | Occupational Therapist | 325 W. Airport Blvd, Pensacola, FL 32505 | 2013-02-07 |
| 1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
| 1447553128 | Stern Family Chiropractic, LLC | Chiropractor | 5505 North W Street, Pensacola, FL 32505 | 2010-12-17 |
| 1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
| 1497809594 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6810 N. Davis Highway, Pensacola, FL 32505 | 2007-01-23 |
| 1578658308 | James J Adams | Pharmacist | 5975 Mobile Highway, Pensacola, FL 32505 | 2006-10-04 |
| 1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
| 1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
| Find all providers in zip 32505 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473588 | Marathon Health LLC | Family Medicine | 2257 N Baylen St, Pensacola, FL 32501-1703 | 2020-09-24 |
| 1063049666 | Beth Sample | Family Medicine | 418 W Brainerd St, Pensacola, FL 32501-3062 | 2020-03-24 |
| 1326688458 | Jeane M Thomas | Family Medicine | 4734 Huron Dr, Pensacola, FL 32507-8737 | 2020-01-07 |
| 1932667391 | Julie Ahrend | Family Medicine | 2603 N 16th Ave, Pensacola, FL 32503-4635 | 2019-03-05 |
| 1942765292 | Access Care Family Medicine | Family Medicine | 6705 Pine Forest Rd Ste 505, Pensacola, FL 32526-6911 | 2019-01-31 |
| 1417441742 | Alisha Watson | Family Medicine | 1549 Airport Blvd Ste 200b, Pensacola, FL 32504-8634 | 2018-06-20 |
| 1477094753 | Emily Ellen Crocetti | Family Medicine | Family Medicine Department 6000 W Us Hwy 98, Pensacola, FL 32512-1200 | 2017-03-20 |
| 1821533001 | William Belk Md LLC | Family Medicine | 3450 Oakmont Dr, Pensacola, FL 32503-6900 | 2016-12-27 |
| 1851756852 | Michelle Lynn Smith | Family Medicine | 3700 Creighton Rd, Suite 4, Pensacola, FL 32504-4680 | 2015-12-18 |
| 1659777985 | Dolores Anne Holtmann | Family Medicine | 9400 University Pkwy Ste 409, Pensacola, FL 32514-5485 | 2014-11-13 |
| 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.