DR. CHRISTOPHER J. BOSARGE (NPI# 1437117124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437117124 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER J. BOSARGE |
| Credential | M.D. |
| Practice Address |
5149 N 9th Ave Ste 120 Pensacola FL 32504-8734 |
| Mailing Address |
Po Box 11982 Pensacola FL 32524-1982 |
| Practice Telephone | 8504791805 |
| Practice Fax Number | 8504791829 |
| Mailing Telephone | 8504791805 |
| Mailing Fax Number | 8504791829 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME073699 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME073699 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 42272 | 01 |
| AL | BCBS OF ALABAMA | 68675 | 01 |
| AL | ALABAMA EDS MEDICAID | 009936285 | 01 |
| FL | 268360100 | 05 | |
| FL | RR MEDICARE | P00137401 | 01 |
| Street Address |
5149 N 9TH AVE STE 120 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565735 | Geoffrey Lake Risley | Surgery | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2005-06-01 |
| 1679117451 | Mario Gardner | Registered Nurse | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2019-11-04 |
| 1528613734 | Colby Keith Sullivan | Nurse Practitioner | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2019-08-05 |
| 1780183624 | Christine Ann Dickson | Nurse Practitioner | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2018-02-06 |
| 1598180903 | Tonya L Hayes | Physician Assistant | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2014-02-21 |
| 1679843080 | Stephanie Nicole Hunter | Nurse Practitioner | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2012-01-03 |
| 1417274135 | Rebekka Annalisa Accardo | Nurse Practitioner | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2010-04-21 |
| 1215164108 | Shonak Bipin Patel | Surgery | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2009-06-17 |
| 1578727913 | Kristina Renee Adam | Physician Assistant | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2008-07-15 |
| 1255531356 | Morgan F White | Physician Assistant | 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 | 2007-07-18 |
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| 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 |
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| 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 |
|---|---|---|---|---|
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| 1831563568 | Up-standing Radiology Services LLC | Radiology | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2015-11-18 |
| 1285031963 | Fresenius Vascular Care Pensacola LLC | Radiology | 1619 Creighton Rd, Pensacola, FL 32504-7152 | 2014-11-25 |
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| 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 |
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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.