PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC (NPI# 1467085902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467085902 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC |
| Practice Address |
12591 Sorrento Rd Ste A Pensacola FL 32507-8754 |
| Mailing Address |
29939 Ono Blvd Orange Beach AL 36561-3634 |
| Practice Telephone | 8502628645 |
| Practice Fax Number | 8502628647 |
| Mailing Telephone | 5012314367 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | MR. ADAM KUETTEL (CEO) |
| Authorized Official Telephone | 8502628645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 851 E I65 Service Rd S Ste 1050, Mobile, AL 366063114 | 8502628645 | 8502628647 |
| Street Address |
12591 SORRENTO RD STE A |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-8754 |
| 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 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 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 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417348830 | Coyle Institute for Female Pelvic Medicine and Reconstructive Surgery | Clinic/Center | 9295 Scenic Hwy, Pensacola, FL 32514-8055 | 2015-02-06 |
| 1528306123 | Intelligent Retina Imaging Systems LLC | Clinic/Center | 418 W Garden St Ste 210, Pensacola, FL 32502-4731 | 2013-01-17 |
| 1598384497 | Cutting Edge Orthopedic & Spine LLC | Clinic/Center | 4711 Scenic Hwy, Pensacola, FL 32504-9018 | 2020-04-10 |
| 1730503905 | Rule One LLC | Clinic/Center | 4400 Bayou Blvd, Suite 36, Pensacola, FL 32503-2673 | 2014-02-09 |
| 1710250048 | Center for Autonomic Disorders Inc | Clinic/Center | 6706 N 9th Ave, Suite A-3, Pensacola, FL 32504-9303 | 2012-02-16 |
| 1578726238 | W H Hansen Md Pa | Clinic/Center | 2020 Langley Ave, Pensacola, FL 32504-8145 | 2008-07-02 |
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|---|---|---|---|---|
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| 1508480864 | Amelia Respiratory and Sleep Medicine LLC | Clinic/Center | 1560 Park Ln, Fernandina Beach, FL 32034-1940 | 2020-06-02 |
| 1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
| 1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
| 1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
| 1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
| 1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
| 1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
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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.