GREATER GULF COAST PRIMARY CARE LLC (NPI# 1518121417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518121417 |
| Entity Type | Organization |
| Organization Name | GREATER GULF COAST PRIMARY CARE LLC |
| Other Organization Name | GULF COAST PRIMARY CARE |
| Practice Address |
1921 E Nine Mile Rd Pensacola FL 32514-7747 |
| Practice Telephone | 8504794791 |
| Mailing Telephone | 8504794791 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | DR. KAREN SNOW (PRESIDENT) |
| Authorized Official Telephone | 8504794791 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gulf Coast Primary Care | Doing Business As Name - Organization |
| Street Address |
1921 E NINE MILE RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-7747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154338424 | Jennifer Miley | Specialist | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2006-08-01 |
| 1275194300 | Kaleigh Gordon | Nurse Practitioner | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2019-06-28 |
| 1447767009 | Holly Willis Malone | Nurse Practitioner | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2018-01-04 |
| 1902343304 | Whitney Cartwright | Nurse Practitioner | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2017-01-23 |
| 1275909269 | Abby Moore | Physician Assistant | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2015-08-13 |
| 1679971378 | Sophia Yvette Lynch | Physician Assistant | 1921 E Nine Mile Rd, Pensacola, FL 32514 | 2014-12-11 |
| 1144571969 | Sandy Wienert | Nurse Practitioner | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2012-09-20 |
| 1801109178 | West Florida Gulf Coast Primary Care | General Practice | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2010-07-15 |
| 1568792463 | Ronda E. Yoder | Nurse Practitioner | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2009-12-28 |
| 1124257290 | Donna L Korando | Physician Assistant | 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| 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.