PENSACOLA NEPHROLOGY PA (NPI# 1558304519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558304519 |
| Entity Type | Organization |
| Organization Name | PENSACOLA NEPHROLOGY PA |
| Practice Address |
5934 Berryhill Medical Park Dr Suite 1 Milton FL 32570 |
| Mailing Address |
1717 N E St Suite 403 Pensacola FL 32501-6339 |
| Practice Telephone | 8506234771 |
| Practice Fax Number | 8506233938 |
| Mailing Telephone | 8504444700 |
| Mailing Fax Number | 8504449766 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MRS. PATRICIA BREELAND (ADMINISTRATOR) |
| Authorized Official Telephone | 8504444700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 256870505 | 05 | |
| FL | 256870506 | 05 | |
| RR MEDICARE | CF9776 | 01 | |
| FL | 256870504 | 05 | |
| AL | 529904030 | 05 | |
| FL | 256870501 | 05 | |
| FL | 256870508 | 05 | |
| FL | 256870500 | 05 | |
| FL | 256870502 | 05 | |
| FL | 256870503 | 05 | |
| FL | 256870507 | 05 | |
| FL | BCBS OF FLORIDA | 99659 | 01 |
| FL | MED3000/HEALTH 1ST NETWOR | 0358 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548204357 | Pensacola Nephrology Pa | Specialist | 6001 Industrial Blvd, Century, FL 32535-3312 | 2006-06-15 |
| 1871535955 | Pensacola Nephrology Pa | Specialist | 925 Mar Walt Dr, Suite 1, Ft Walton Beach, FL 32547-6759 | 2006-06-12 |
| 1467495424 | Pensacola Nephrology Pa | Specialist | 5149 N 9th Ave, Suite G35, Pensacola, FL 32504-8756 | 2006-06-14 |
| 1245273242 | Pensacola Nephrology Pa | Specialist | 5401 Corporate Woods Dr, Suite 850, Pensacola, FL 32504-8984 | 2006-06-14 |
| 1033167374 | Pensacola Nephrology Pa | Specialist | 550 Redstone Ave W, Suite 200, Crestview, FL 32536-6428 | 2006-05-05 |
| 1477501153 | Pensacola Nephrology Pa | Specialist | 9400 University Pkwy, Suite 109, Pensacola, FL 32514-5752 | 2006-05-04 |
| 1518969765 | Pensacola Nephrology Pa | Internal Medicine | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2005-06-01 |
| Street Address |
5934 BERRYHILL MEDICAL PARK DR SUITE 1 |
| City | MILTON |
| State | FL |
| Zip Code | 32570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316059009 | Renal Care Group of The Southeast Inc | Clinic/Center | 5934 Berryhill Medical Park Dr, Suite 2, Milton, FL 32570 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1184679821 | James Mark Watson | Radiology | 6002 Berry Hill Rd, Milton, FL 32570 | 2006-05-23 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578939112 | Teresa Wanamaker | Specialist | 120 Willow Tree Rd, Milton, NY 12547-5306 | 2015-08-18 |
| 1699198408 | Rebecca Mazurik-charles | Specialist | 1220 N Front St Apt 2, Milton, PA 17847-9648 | 2014-01-29 |
| 1427392935 | Marcy Rae Korynta | Specialist | 1205 19th Ave, Milton, WA 98354-9189 | 2012-11-21 |
| 1417291048 | Kadee Tuttle | Specialist | 1304 17th Ave, Milton, WA 98354-9125 | 2012-11-20 |
| 1467668343 | Amitabha Ghosh Roy, M.d., P.C. | Specialist | 100 Highland St Ste 204, Milton, MA 02186-3875 | 2007-05-15 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1437220548 | Linda Newday | Specialist | 2748 Milton Way Ste 211, Milton, WA 98354-9379 | 2006-11-11 |
| 1447333885 | Kimberly A Edwards | Specialist | 1107 Oak St, Milton, WA 98354-9234 | 2006-10-21 |
| 1669453361 | Guy M Rochman | Specialist | 100 Highland Street, Suite 226, Milton, MA 02186-3881 | 2005-11-09 |
| 1073510095 | Peter Matthew Szymoniak | Specialist | 6007 Berryhill Rd, Milton, FL 32570-4008 | 2005-07-05 |
| Find all providers in MILTON | ||||
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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.