DR. JAMES GUS DEMITRACK JR. (NPI# 1609843937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609843937 |
| Entity Type | Individual |
| Full Name | DR. JAMES GUS DEMITRACK JR. |
| Credential | M.D. |
| Practice Address |
6000 Us-98 Pensacola FL 32512-2111 |
| Mailing Address |
6000 Us-98 Pensacola FL 32512-0001 |
| Practice Telephone | 8505056514 |
| Practice Fax Number | 8505056288 |
| Mailing Telephone | 8505056514 |
| Mailing Fax Number | 8505056288 |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101238544 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
6000 US-98 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32512-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899335 | Benjamin David Hicks | Dentist | 6000 Us-98, Pensacola, FL 32512-0001 | 2020-07-29 |
| 1063021806 | Meena Manepalli | Pharmacist | 6000 Us-98, Pensacola, FL 32512-0001 | 2020-07-28 |
| 1811515323 | Ryan Gov | Dentist | 6000 Us-98, Pensacola, FL 32512 | 2020-07-10 |
| 1881247609 | Joshua Krushinski | Dentist | 6000 Us-98, Pensacola, FL 32512-0001 | 2019-07-21 |
| 1346799269 | Maryam Adebayo | Registered Nurse | 6000 Us-98, Pensacola, FL 32512-0001 | 2016-10-04 |
| 1407276355 | Joel Geurin | Family Medicine | 6000 Us-98, Pensacola, FL 32512 | 2014-04-18 |
| 1598031742 | Spencer Mark Burk | Anesthesiology | 6000 Us-98, Pensacola, FL 32512-0001 | 2012-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659612240 | Andrew J Wright | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98 Hwy, Pensacola, FL 32512 | 2013-03-07 |
| 1497952071 | Harlan Walker II | Student in an Organized Health Care Education/Training Program | Nami, Pensacola Nas, FL 32512 | 2007-06-28 |
| 1821182841 | David Dean | Psychologist | Deployment Health - Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512 | 2006-10-03 |
| 1689681751 | Michael Jay Franks Jr. | Psychologist | 6000 W. Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512 | 2006-08-02 |
| 1477514115 | Randolph Lee Budd | Physical Therapist | 1000 West Hwy 98, Pensacola, FL 32512 | 2006-03-31 |
| 1962473470 | Alden Mathias Brown | Physician Assistant | 6ooo Hwg 98 West, Pensacola, FL 32512 | 2006-02-01 |
| 1972574580 | Adolfo Jose Torrez Jr. | Family Medicine | 6000 Highway 98 West, Pensacola Naval Hospital Emergency Department, Pensacola, FL 32512 | 2006-01-31 |
| 1336119387 | Felix Rodriguez Tormes | Orthopaedic Surgery | Highway 98, Naval Hospital, Pensacola, FL 32512 | 2006-01-24 |
| 1689654154 | Denise Lynn Peet | Pathology | Naval Hopsital, Laboratory, 6000 West Highway 98, Pensacola, FL 32512 | 2006-01-19 |
| 1184133878 | Damilola Alade Price | Pharmacist | 6000 W Highway 98, Pensacola, FL 32512 | 2017-09-25 |
| Find all providers in zip 32512 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013330687 | John Frank Bullard Jr. | Pediatrics | 2805 Bayou Blvd, Pensacola, FL 32503-4205 | 2014-02-01 |
| 1023256476 | Childrens Clinic of Pensacola Pa | Pediatrics | 4220 N Davis Hwy Ste 200, Pensacola, FL 32503-2721 | 2009-01-22 |
| 1982815171 | Jane Ellen Benson | Pediatrics | 12084 Gulf Beach Hwy, Pensacola, FL 32507-9043 | 2007-05-27 |
| 1609997725 | Kelli Harris Tapley | Pediatrics | 5151 North 9th Avenue, Pensacola, FL 35054 | 2007-04-03 |
| 1114081064 | Thomas G Mignerey | Pediatrics | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2006-12-21 |
| 1427112374 | Dina Jaalouk | Pediatrics | 5868 Creek Station Dr Bldg A, Pensacola, FL 32504-8627 | 2006-12-21 |
| 1295897064 | Marie Elizabeth John | Pediatrics | 10224 Grackle Ct, Pensacola, FL 32507-7212 | 2006-12-15 |
| 1568546943 | Philip C Dean | Pediatrics | 9301 Beatrice Dr, Pensacola, FL 32514-5867 | 2006-10-24 |
| 1144302324 | Pensacola Pediatrics Pa | Pediatrics | 4951 Grande Dr, Pensacola, FL 32504-8965 | 2006-10-19 |
| 1275628752 | Corey Jay Wolff | Pediatrics | 1530 E Airport Blvd, Pensacola, FL 32504 | 2006-10-03 |
| 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.