PEDIATRIC ASSOCIATES PA (NPI# 1730243692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730243692 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES PA |
| Practice Address |
5190 Bayou Blvd Ste 7 Pensacola FL 32503-2162 |
| Practice Telephone | 8504781104 |
| Practice Fax Number | 8504784289 |
| Mailing Telephone | 8504781104 |
| Mailing Fax Number | 8504784289 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NEIL E MCWILLIAMS (PEDIATRICIAN PRESIDENT) |
| Authorized Official Telephone | 8504781104 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 114673 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992839757 | Pediatric Associates Pa | Pediatrics | 444 Neptune Boulevard Suite 4, Neptune, NJ 07753 | 2007-03-15 |
| 1326380213 | Pediatric Associates Pa | Allergy & Immunology | 12385 Sorrento Rd, Suite C4, Pensacola, FL 32507-8664 | 2013-03-19 |
| 1124369160 | Pediatric Associates Pa | Pediatrics | 4435 Highway 90, Pace, FL 32571-2066 | 2013-03-14 |
| 1730121179 | Pediatric Associates Pa | Pediatrics | 1346 Haile St, Camden, SC 29020-3076 | 2006-06-11 |
| Street Address |
5190 BAYOU BLVD STE 7 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114081064 | Thomas G Mignerey | Pediatrics | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2006-12-21 |
| 1265909543 | Malorie Kristen Mckinnon | Nurse Practitioner | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2168 | 2018-10-25 |
| 1215237466 | Karen Bounds | Clinical Nurse Specialist | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2010-10-21 |
| 1093879942 | Patrick E Murray | Pediatrics | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2006-12-21 |
| 1528122538 | Neil E Mcwilliams | Pediatrics | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2006-12-21 |
| 1952465809 | Ulrike Benny | Pediatrics | 5190 Bayou Blvd Ste 7, Pensacola, FL 32503-2162 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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.