MGHMI (NPI# 1629522008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629522008 |
| Entity Type | Organization |
| Organization Name | MGHMI |
| Practice Address |
14 W Jordan St Ste 1j Pensacola FL 32501-1734 |
| Mailing Address |
4311 Bayou Blvd Apt A8 Pensacola FL 32503-2621 |
| Practice Telephone | 7276399817 |
| Mailing Telephone | 5062993668 |
| Mailing Fax Number | 8662589993 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | MS. MARCIA G MOLLE (OWNER) |
| Authorized Official Telephone | 7276389817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4850 N 9th Ave, Pensacola, FL 325032407 | 8506299366 | 8662589993 |
| Street Address |
14 W JORDAN ST STE 1J |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328177 | Mark S Isenberg | Podiatrist | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2005-07-05 |
| 1629466495 | Jamaica Moss | Registered Nurse | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2015-01-02 |
| 1538557608 | Jdpremium Healthcare, LLC | Registered Nurse | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2014-12-24 |
| 1962743351 | Ladaysha L Jackson | Nurse Practitioner | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2013-03-08 |
| 1255365177 | Dr Mark Isenberg Pa | Podiatrist | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2006-07-10 |
| 1326021635 | Norman R Mcfadden Jr. | General Practice | 14 W Jordan St Ste 1j, Pensacola, FL 32501-1734 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1629049408 | Kinley Wayne Howard | Podiatrist | 8550 Scenic Hwy Apt G, Pensacola, FL 32514-7921 | 2006-01-30 |
| 1801885116 | Michael Ross Allen | Podiatrist | 4850 N 9th Ave, Pensacola, FL 32503-2407 | 2005-10-19 |
| 1184612186 | Paul Davis Brooks | Podiatrist | 2201 E Nine Mile Rd, Pensacola, FL 32514-7772 | 2005-10-12 |
| 1952868200 | Dale M Kaplan Dpm LLC | Podiatrist | 4311 Bayou Blvd Apt A8, Pensacola, FL 32503-2621 | 2019-02-22 |
| 1154817864 | Dale M Kaplan Dpm LLC | Podiatrist | 4311 Bayou Blvd Apt A8, Pensacola, FL 32503-2621 | 2018-07-05 |
| 1013368257 | Carmelita Leslie Harbeson | Podiatrist | 2110 N Palafox St, Pensacola, FL 32501 | 2016-06-29 |
| 1598151375 | Matthew Earl Cummins | Podiatrist | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2015-04-08 |
| 1457771156 | Joseph Musmanno | Podiatrist | 450 Turner St, Nhbc - Podiatry, Pensacola, FL 32508-5211 | 2014-04-21 |
| 1679851208 | John Aker | Podiatrist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2011-08-01 |
| 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.